Cardiology Coding: Changes You Need to Know for 2017! - PowerPoint PPT Presentation

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Cardiology Coding: Changes You Need to Know for 2017!


In this webinar, you will learn the most important updates to the new CPT® and ICD-10-CM codes, along with tips for billable services in cardiology. – PowerPoint PPT presentation

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Title: Cardiology Coding: Changes You Need to Know for 2017!

Cardiology Coding
Changes You Need to Know for 2017!
Presented By Rachel M. Kaser, BS, CPC, MHSA
AHIMA-Approved ICD-10-CM/PCS Trainer Auditor
Course Objectives
  • Become familiar on reporting transluminal
    angioplasty codes and where bundling is applied
  • Find out the meaning behind EKGs in order to
    accurately complete
  • coding
  • Understand changes to the ICD-10-CM coding
  • Learn about the new codes set forth for
    hypertensive crisis and
  • hypertensive emergency
  • Obtain knowledge about the new codes for renal
    and visceral angioplasty

Transluminal Angioplasty (Peripheral)
  • Reorganized, recorded, relocated for 2017
  • 35450-35476 are deleted within CPT
  • CPT refers you to codes 36902, 36905, 36907 and
    37246, 37247,
  • 37249
  • Note CPT instructs you to report both selective
    and non-selective
  • catheterization separately
  • Intravascular ultrasound and mechanical
    thrombectomy along with thrombolytic therapy may
    also be reported separately

Transluminal Angioplasty (Peripheral)
  • 36902, 36905, 36907 Part of a new series of
    codes for diagnostic catheterization and
    intervention for dialysis circuits (36901-36909)
  • Includes all imaging guidance, supervision and
  • If coding for non-dialysis, i.e., renal or
    visceral arteries, see codes
  • 37246-37249

Transluminal Angioplasty (Peripheral)
  • 37246-37247 are for ANGIOPLASTY within the
  • 37248-37249 are for venous angioplasty
  • All codes are reporting open and percutaneous
  • All codes include the imaging and radiological
    supervision necessary to perform the procedures
  • Additional radiology codes 75791, 75962, 75964,
    75968, 75970 have
  • been deleted from the 2017 CPT manual

Paravalvular Leak Closure
  • Billable codes now available for Paravalvular
    leak closures
  • 93590 Percutaneous closure of Paravalvular leaks
    for the mitral valve
  • 93591 Percutaneous closure of Paravalvular leaks
    for the aortic valve
  • Codes report INITIAL occlusion device only
  • 93592 Each additional device
  • INCLUDES fluoroscopic imaging guidance,
    angiography and radiological imaging services

Left Atrial Appendage Closure
  • New CPT code includes the imaging
  • Category I code 33340
  • Ensure you do not bill separately for the
    radiological supervision and interpretation
  • Do not report a diagnostic heart catheterization
    separately with this
  • procedure unless distinctly documented per CPT

Mechanochemical (MOCA) Vein Ablation
  • Codes 36473-36474 have been added for
    Mechanochemical (MOCA) Vein Ablation
  • Code choice is now distinct based on the type of
    ablation method
  • utilized (i.e., TECHNIQUE)
  • Imaging guidance and monitoring are all inclusive
    with these new
  • codes
  • Ensure add on codes 36474, 36476, 36479 are only
    reported once per extremity

Coronary Thrombectomy
  • Add on code 92973
  • Mechanical thrombectomy (i.e., Angiojet
    procedure) is separately reportable with a
    coronary intervention
  • Non-mechanical aspiration thrombectomy should
    NOT be reported
  • with this code

ICD-10-CM Updates Cardiology
  • R73.03 Prediabetes
  • Common symptoms documented within the encounter
  • High blood pressure
  • HDL cholesterol is below 35 milligrams per
  • Triglyceride level is above 250 mg/dL

ICD-10-CM Updates Cardiology
  • Diagnosis Paroxysmal Atrial Fibrillation
  • I48.0 Paroxysmal Atrial Fibrillation
  • Sequenced first when it is the primary reason for
    the encounter as determined within the
    Assessment and Plan

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