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SCAI Presents PCI – New Coding Paradigm

SCAI Presents PCI – New Coding Paradigm - CommPartners

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<strong>SCAI</strong> <strong>Presents</strong> <strong>PCI</strong> <strong>–</strong> <strong>New</strong> <strong>Coding</strong> <strong>Paradigm</strong>Hierarchy of InterventionsMajor Vessels and ModifiersAngioplasty (92920)Stent (92928) = Bypass (92937)Atherectomy (92924)STEMI (92941) = CTO (92943) = Atherectomy with Stent (92933)Modifiers <strong>–</strong>LC <strong>–</strong> Left circumflexLD <strong>–</strong> Left anterior descendingcoronary arteryRC <strong>–</strong> Right Coronary arteryLM <strong>–</strong> Left main coronaryarteryRI <strong>–</strong> Ramus IntermediusNon-STEMI, Non-CTO, Non-Bypass Graft Percutaneous Coronary InterventionsPTA Atherectomy * Stent * Atherectomy with Stent*Base Code 92920 92924 92928 92933Additional Branch codes 92921 92925 92929 92934*includes PTA when performedCPT only ©2012 American Medical Association. All rights reserved.Copyright 2012, Society for Cardiovascular Angiography and Interventions. All rights reserved.The Society for CardiovascularAngiography and Interventions


<strong>SCAI</strong> <strong>Presents</strong> <strong>PCI</strong> <strong>–</strong> <strong>New</strong> <strong>Coding</strong> <strong>Paradigm</strong> (Continued)The Codes:92920+9292192924+ 9292592928+9292992933+9293492937+929389294192943+92944Percutaneous transluminal coronary angioplasty; single major coronary artery or branchEach additional branch of a major coronary artery (List separately in addition to code for primary procedure)Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; single major coronaryartery or branchEach additional branch of a major coronary artery (List separately in addition to code for primary procedure)Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; singlemajor coronary artery or branchEach additional branch of a major coronary artery (List separately in addition to code for primary procedure)Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed;single major coronary artery or branchEach additional branch of a major coronary artery (List separately in addition to code for primary procedure)Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial,venous), any combination of intracoronary stent, atherectomy and angioplasty, including distal protection whenperformed; single vesselEach additional branch subtended by the bypass graft (List separately in addition to code for primary procedure)Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronaryartery or coronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty,including aspiration thrombectomy when performed, single vesselPercutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, orcoronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; single vesselEach additional coronary artery, coronary artery branch, or bypass graft (List separately in addition to code for primaryprocedureCPT only ©2012 American Medical Association. All rights reserved.Copyright 2012, Society for Cardiovascular Angiography and Interventions. All rights reserved.The Society for CardiovascularAngiography and Interventions

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