Cardiology Coding Alert

Reader Question:

Be Sure Angiography With Stent is Diagnostic

Question: When billing for a cardiac stent, should I automatically report the radiology code 75898 or any other radiology supervision and interpretation (S&I) code in addition to the stent procedure? I have not been billing any additional code but have seen this added by another practice.

Florida Subscriber Answer: You are correct not to bill automatically for angiography (75898, Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion) with stent procedures. You should not report any coronary angiography in addition to stent deployment (92980, Transcatheter placement of an intracoronary stent[s], percutaneous, with or without other therapeutic intervention, any method; single vessel) unless the angiography was diagnostic and the physician used the results to place the stent in that location.
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