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Cardiology Coding Alert

MPFS:

92921 Payment? CMS Says Coronary Branch Add-On Codes Are Bundled

Published on Tue Dec 11, 2012

Watch for this conflict between CPT® and CMS guidelines. CPT® 2013 overhauled your coding options for percutaneous coronary intervention (PCI), but CMS isn’t convinced it needs to pay separately for all of the new add-on codes. The codes: Starting Jan. 1, 2013, new codes are in place for PCI, which includes services such as angioplasty, atherectomy, and stent placement. The codes are designed to have a base code for the most intensive service on a single major coronary artery or branch and then an add-on code for PCI performed in up to two additional branches of the target vessel. For example, note these codes for angioplasty only: 92920, Percutaneous transluminal coronary angioplasty; single major coronary artery or branch +92921, … each additional branch of a major coronary artery (List separately in addition to code for primary procedure). MPFS: The 2013 Medicare Physician Fee Schedule (MPFS; final rule with comment period), [...]
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