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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

The following section contains commonly used hospital billing codes for coronary interventions and devices.

Note: Medicare hospital inpatient information is effective for the fiscal year (FY) (October 1 through September 30).

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

 

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
00.44 Procedure on vessel bifurcation

 

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 calendar year (CY) (January 1 – December 31).
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

 

Coronary Angioplasty
92982 Percutaneous transluminal coronary balloon angioplasty, single vessel
92984 Percutaneous transluminal coronary balloon angioplasty, each additional vessel

 

The following code has been assigned to occlusive devices by CMS: G0269

G0269 is defined as: placement of an occlusive device in either a venous or arterial access site, post-surgical or interventional procedure. Code G0269 should be used on Medicare claims to record the placement of the vasoseal and for other payers as directed.

 

CPT-4® Codes for Physicians

Note:

  • Medicare physician information is effective for calendar year (CY) (January 1– December 31).

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

 

The following code has been assigned to occlusive devices by CMS: G0269

G0269 is defined as: placement of an occlusive device in either a venous or arterial access site, post-surgical or interventional procedure. Code G0269 should be used on Medicare claims to record the placement of the vasoseal and for other payers as directed.

 

Last Updated - October 2011

References:

Centers for Medicare and Medicaid Services at www.cms.gov

ICD-9-CM for Hospitals – Volumes 1,2 & 3; 2011 Professional; 6th edition; edited by Anita C. Hart, RHIA, CCS, CCS-P, Melinda S. Stegman, MBA, CCS, Beth Ford, RHIT, CCS; Ingenix

CPT® is a trademark of the American Medical Association.

Current Procedure Terminology (CPT®) is copyright 2010. 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®) 2011. Professional Edition. Chicago, IL.

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.