Advanced Search

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), [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Cardiology Coding Alert

View All