Advanced Search

Cardiology Coding Alert

READER QUESTIONS:

Use G0290 for Medicare Patients Only

Published on Sat May 05, 2007

Question: Should we report 92980 for a drug-eluting stent on a non-Medicare patient (instead of G0290)?


Iowa Subscriber


Answer: Yes, you must. The G codes, such as G0290 (Transcatheter placement of a drug-eluting intracoronary stent[s], percutaneous, with or without other therapeutic intervention, any method; single vessel), apply only to hospitals when billing for Medicare patients.

Because you're billing for the physician work, 92980 (Transcatheter placement of an intracoronary stent[s], percutaneous, with or without other therapeutic intervention, any method; single vessel) is appropriate.

Rule: Although G0290 accurately describes drug-eluting stents, this is a supply code only reimbursed to facilities.
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