Coronary Atherectomy

Note: As of October 1, 2005, code 00.66 is used to report percutaneous transluminal coronary angioplasty [PTCA] or coronary atherectomy. Assign also a code to identify the number of vessels treated (00.40-00.43). Changes to the Volume Three index and tabular have been made to include coronary atherectomy procedures (rotational, laser, directional) with percutaneous transluminal balloon angioplasty. For example: 36.01 Single vessel percutaneous transluminal coronary angioplasty [PTCA] or coronary atherectomy without mention of thrombolytic agent Add Coronary atherectomy Delete That by laser Amend exclusion term Excludes: multiple vessel percutaneous transluminal coronary angioplasty [PTCA] or coronary atherectomy...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers ICD volume-three coding updates for coronary atherectomy in the context of coronary angioplasty reporting. It is relevant to coders and reimbursement staff who need to understand the affected code references, related vessel-count reporting, and changes to the index and tabular structure. The discussion also notes alignment with prior Coding Clinic guidance and references the procedures included in the update.

Why This Topic Matters

Accurate reporting of coronary intervention procedures depends on knowing which classification references were revised and which related codes may apply. This article helps users identify the affected ICD-9-CM volume-three entries and understand the scope of the update without relying on the premium content.

Article Sections

  1. Note

    A brief update on reporting coronary atherectomy in the context of coronary intervention procedures and related vessel-count coding references.

  2. Changes to the Volume Three index and tabular

    A summary of revisions made to the index and tabular entries for coronary atherectomy procedures and related classification language.

  3. Example revision

    An example of a specific code entry affected by the update and the associated editorial changes to that classification line.

What You Will Learn

  • How the article frames coronary atherectomy within ICD volume-three reporting
  • Which parts of the coding classification were updated
  • What broader procedure categories are discussed in the update
  • How the article connects the update to prior Coding Clinic guidance

Who Should Read This

  • Medical coders
  • Coding auditors
  • Revenue cycle staff
  • Health information management professionals

Codes Discussed

  • ICD-9-CM: 00.66
  • ICD-9-CM: 00.40
  • ICD-9-CM: 00.41
  • ICD-9-CM: 00.42
  • ICD-9-CM: 00.43
  • ICD-9-CM: 36.01
  • ICD-9-CM: 36.05

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