Effective October 1, 2010, a new code (00.60) has been created to specifically identify insertion of a drug-eluting stent into the superficial femoral artery. The current ICD-9-CM code for insertion of drug-eluting peripheral vessel stent(s) encompasses all peripheral vessels and does not specifically identify insertion into the superficial femoral artery. Treatment of peripheral arteries with stents is oftentimes significantly more challenging than treatment of the coronary arteries. This is particularly true for the superficial femoral artery. This artery begins near the groin, where the common femoral artery divides, and runs the length of the thigh before transitioning into the popliteal artery as it enters the popliteal fossa behind the knee. The superficial femoral artery is a long vessel subject to significant forces. Lesions in the superficial femoral artery tend to be heterogeneous and complex, often involving long or calcified plaque as well as total occlusions.
New code 00.60 Insertion of drug-eluting stent(s) of superficial femoral artery Code also any: angioplasty or atherectomy of other non- coronary vessel(s) (39.50) non-drug-eluting peripheral stents (39.90) number of vascular stents inserted (00.45-00.48) number of vessels treated (00.40-00.43) procedure on vessel bifurcation (00.44) Excludes: insertion of drug-eluting stent(s) of other peripheral vessel (00.55) that for other endovascular procedure (39.71-39.79)
A patient is diagnosed with superficial femoral artery stenosis and underwent balloon angioplasty with insertion of one drug-eluting stent into the femoral artery. How should the procedure be coded?
Assign code 39.50, Angioplasty or atherectomy of noncoronary vessel, and code 00.60, Insertion of drug-eluting stent(s) of superficial femoral artery, for the balloon angioplasty of the femoral artery with the placement of the stent. Code 00.40, Procedure on single vessel, and code 00.45, Insertion of one vascular stent, should be assigned to show the number of vessels treated and the number of stents inserted.