Coding for Coronary Interventions and Devices
Abbott Vascular seeks to ensure timely patient access to innovative medical solutions. As part of this commitment, you will find billing codes related to interventional cardiology devices and procedures by clicking the selections below:
ICD-9-CM Procedure Codes for Hospital Inpatient Services
CPT-4® Procedure Codes/HCPCS Codes for Hospital Outpatient Services
ICD-9-CM Procedure Codes for Hospital Inpatient Services
The following section contains commonly used hospital billing codes for coronary interventions and devices.
Note: Medicare hospital inpatient information is effective for Medicare’s FY 2008 (October 1, 2007 – September 30, 2008)
Insertion of Coronary Artery Stent
36.06 Insertion of non-drug eluting coronary artery stent(s)
36.07 Insertion of drug-eluting coronary artery stent(s)
Percutaneous transluminal coronary angioplasty or atherectomy
00.66 Percutaneous transluminal coronary angioplasty or atherectomy
Code also any:
Number of vascular stents inserted
00.45 Insertion of one vascular stent/Number of stents unspecified
00.46 Insertion of two vascular stents
00.47 Insertion of three vascular stents
00.48 Insertion of four or more vascular stents
Number of vessels treated
00.40 Procedures on single vessel/Number of vessels, unspecified
00.41 Procedure on two vessels
00.42 Procedure on three vessels
00.43 Procedure on four or more vessels
CPT-4® Procedure Codes/HCPCS Codes for Hospital Outpatient Services
The following section contains CPT-4 codes for coronary stent procedures.
Note:
- Medicare hospital outpatient and physician information is effective for CY 2008 (January 1, 2008 – December 31, 2008)
- In some circumstances, a modifier (a two-digit numerical code) can be attached to the original CPT-4 code if substantiated by medical documentation
Placement of Coronary Artery Stent
92980 Transcatheter placement of an intracoronary stent(s), percutaneous, with or without other therapeutic intervention, any method; single vessel
92981 Transcatheter placement of an intracoronary stent(s), percutaneous, with or without other therapeutic intervention, any method; each additional vessel
Hospital HCPCS Codes for Drug Eluting Stents
NOTE: These codes are to be used only by hospitals billing for outpatient services.
G0290 Transcatheter placement of a drug eluting intracoronary stent(s), percutaneous, with or without other therapeutic intervention, any method; single vessel
G0291 Transcatheter placement of a drug eluting intracoronary stent(s), percutaneous, with or without other therapeutic intervention, any method; each additional vessel
CAUTION: XIENCE™ V Everolimus Eluting Coronary Stent System is an investigational device. Limited by Federal (U.S.) law to investigational use only.
Coronary Angioplasty
92982 Percutaneous transluminal coronary balloon angioplasty, single vessel
92984 Percutaneous transluminal coronary balloon angioplasty, each additional vessel
Coronary Atherectomy
92995 Percutaneous transluminal coronary atherectomy, by mechanical or other method, with or without balloon angioplasty, single vessel
92996 Percutaneous transluminal coronary atherectomy, by mechanical or other method, with or without balloon angioplasty, each additional vessel
CPT-4® Codes for Physicians
Note:
- Medicare physician information is effective for CY 2008 (January 1, 2008 – December 31, 2008)
- In some circumstances, a modifier (a two-digit numerical code) can be attached to the original CPT-4 code, if substantiated with medical documentation
Coronary Stents*
92980 Transcatheter placement of an intracoronary stent(s), percutaneous, with or without other therapeutic intervention, any method; single vessel
92981 Transcatheter placement of an intracoronary stent(s), percutaneous, with or without other therapeutic intervention, any method; each additional vessels
* Physician CPT-4 billing codes are the same regardless of the type of coronary stent (drug eluting or non-drug eluting) inserted into the coronary artery.
Coronary Angioplasty
92982 Percutaneous transluminal coronary balloon angioplasty, single vessel
92984 Percutaneous transluminal coronary balloon angioplasty, each additional vessel
Coronary Atherectomy
92995 Percutaneous transluminal coronary atherectomy, by mechanical or other method, with or without balloon angioplasty, single vessel
92996 Percutaneous transluminal coronary atherectomy, by mechanical or other method, with or without balloon angioplasty, each additional vessel
References:
Centers for Medicare and Medicaid Services at www.cms.hhs.gov
ICD-9-CM for Hospitals – Volumes 1,2 & 3; 2006 Professional; 6th edition; edited by Anita C. Hart, RHIA, CCS, CCS-P, Catherine A. Hopkins, Beth Ford, RHIT, CCS; Ingenix
CPT® is a trademark of the American Medical Association.
Current Procedure Terminology (CPT®) is copyright 2005. American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use.
American Medical Association. Current Procedural Terminology (CPT®) 2005. Professional Edition. Chicago, IL: 2005.
Disclaimer: The information provided on this website was obtained from third-party sources and is subject to change without notice as a result of changes in reimbursement laws, regulations, rules, policies, and payment amounts. All content on this website is informational only, general in nature, and does not cover all situations or all payers’ rules and policies. This content is not intended to instruct hospitals and/or physicians on how to use or bill for healthcare procedures, including new technologies outside of Medicare national guidelines. A determination of medical necessity is a prerequisite that Abbott Vascular assumes will have been made prior to assigning codes or requesting payments. Hospitals and physicians should consult with appropriate payers, including Medicare fiscal intermediaries and carriers, for specific information on proper coding, billing, and payment levels for healthcare procedures.
This website information represents no promise or guarantee by Abbott Vascular concerning coverage, coding, billing, and payment levels. Abbott Vascular specifically disclaims liability or responsibility for the results or consequences of any actions taken in reliance on information on this website.
Last updated: June 2008
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