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
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 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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