cardiology coding-changes-for-2017
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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; SuperCoder.com
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Course Objectives
• Become familiar on reporting transluminal angioplasty codes and where bundling is applied
• Find out the meaning behind EKG’s in order to accurately complete coding
• Understand changes to the ICD-10-CM coding guidelines
• Learn about the new codes set forth for hypertensive crisis and hypertensive emergency
• Obtain knowledge about the new codes for renal and visceral angioplasty
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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
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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 interpretation
• If coding for non-dialysis, i.e., renal or visceral arteries, see codes 37246-37249
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Transluminal Angioplasty (Peripheral)
• 37246-37247 are for ANGIOPLASTY within the arteries
• 37248-37249 are for venous angioplasty
• All codes are reporting open and percutaneous angioplasty
• 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
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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
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Left Atrial Appendage Closure (LAAC) • 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 guidelines
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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
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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
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ICD-10-CM Updates: Cardiology
• R73.03: Prediabetes
• Common symptoms documented within the encounter:
• High blood pressure
• HDL cholesterol is below 35 milligrams per deciliter
• Triglyceride level is above 250 mg/dL
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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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