CPT^® 92978, Under Therapeutic Services and Procedures

The Current Procedural Terminology (CPT^®) code 92978 as maintained by American Medical Association, is a medical procedural code under the range - Therapeutic Services and Procedures.

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Summary

In this add–on procedure, the provider advances a catheter into a coronary vessel or previously placed graft using ultrasound or optical coherence tomography to view the extent of the blockage, placement of a stent, or other procedure on the heart before or after therapeutic intervention. He then interprets the images and reports the findings. Use this code to report the imaging of the initial vessel.

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jlong

The first procedure was billed with 93458.26.59, 92928.RC (3-stents placed in RC), 92978.26.RC, Medicare paid all three CPT. The patient returned to her room and then went into cardiac arrest and emer... [ Read More ]

Denial 93458, 92978, and 92979.

I have never used the XU modifier. I would code these 92928 RC 93458 26 59 92978 26 LM 92979 26 LD... [ Read More ]

Denial 93458, 92978, and 92979.

Hello, I first billed out 92928 RC, 93458 26 XU,92978 XU LM, and 92978 LD. Got the denial for 92978 and 92978. I changed one of 92978 to 92979 and removed the XU then added modifier 26. Now, the... [ Read More ]

IVUS of coronary artery branch?

[QUOTE="Jim Pawloski, post: 495065, member: 67434"] The codes are per vascular territory, so the branch of the LD is part of 92979. THT, Jim Pawloski, CIRCC [/QUOTE] Hi Jim, I was wondering your inpu... [ Read More ]

IVUS of coronary artery branch?

An IVUS was done on the left main (LM), LAD, and diagonal branch (D1). I would bill 92978-26 for the LM, 92979-26 for the LAD. My question is can I bill 92979-26-59 for the D1? Not sure if branches of... [ Read More ]

Impella Device

I would appeal the Impella code, and also add -LD to 92978.... [ Read More ]

Impella Device

Can someone please help me? I have coded the following procedure. Is this correct? Physician note below. Insurance has denied the Cardiac cath saying it is bundled with the Impella. 92928-LD 93458-... [ Read More ]

kissing angioplasty

I am perplexed how to code the kissing angioplasty procedure. I code for facility and I will be using C9600 code instead 92928. how can I capture this procedure? I would code; 93458-59 C9600-LD 92978-... [ Read More ]

kissing angioplasty

[IMG]https://ssl.gstatic.com/ui/v1/icons/mail/profile_mask2.png[/IMG] ... [ Read More ]

Can we bill IVUS during cardiac cath w intervention when IVUS only utilized to check positioning of stent?

[QUOTE="Jim Pawloski, post: 490975, member: 67434"] Yes you may code 92978 to make sure that the stent is well opposed. HTH, Jim Pawloski, CIRCC [/QUOTE] Thank you.... [ Read More ]

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