Radiology Coding Alert

Question: I’ve heard that we won’t be able to use G0392 and G0393 in 2010. Is this true? Indiana Subscriber Answer: Yes. According to the HCPCS 2010 code set release, HCPCS 2010 does delete G0392 (Transluminal balloon angioplasty, percutaneous; for maintenance of hemodialysis access, arteriovenous fistula or graft; arterial) and G0393 (… venous). Before CMS established these codes in 2007 for Medicare patients, you reported a percutaneous transluminal angioplasty of an arterial AV fistula or graft using 35475 (Transluminal balloon angioplasty, percutaneous; brachiocephalic trunk or branches, each vessel) for the procedure and 75962 (Transluminal balloon angioplasty, peripheral artery, radiological supervision and interpretation) for the imaging. When the radiologist performed a venous AV fistula or graft angioplasty, you used 35476 (… venous) for the procedure and 75978 (Transluminal balloon angioplasty, venous [e.g., subclavian stenosis], radiological supervision and interpretation) for the imaging. The 2010 Medicare Physician Fee Schedule lists 35475 as status [...]