Percutaneous Angioplasty and Atherectomy and Percutaneous Stent Insertion

Effective October 1, 2004, a new code subcategory has been created to identify percutaneous angioplasty and atherectomy of precerebral and intracranial vessels as well as percutaneous stent insertion of other precerebral, carotid and intracranial arteries. Carotid artery occlusion is an obstruction or narrowing of the carotid arteries. These arteries provide blood from the heart to the brain. A frequent cause of carotid artery stenosis is atherosclerotic plaque that impedes blood flow into the brain, leading to stroke. The conventional treatment is carotid endarterectomy, a surgical procedure performed under general anesthesia. Recent advances in interventional radiology, have made possible endovascular...

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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 a coding update effective October 1, 2004 that introduced new procedure codes for endovascular treatment of precerebral, carotid, and intracranial arteries. It is aimed at medical coders, coding educators, and reimbursement professionals who need to understand the scope of the new vascular procedure category and the broad circumstances addressed by the guidance.

Why This Topic Matters

The article matters because it organizes a newly created procedure code subcategory and identifies the vascular interventions and anatomical areas that fall within it. That makes it relevant for accurate code selection, coding education, and review of cerebrovascular interventional procedures.

Article Sections

  1. Overview of the vascular procedure update

    Introduces the effective date and the general purpose of the new procedure code subcategory. It also provides clinical context for carotid and related cerebrovascular disease and why endovascular treatment became relevant.

  2. Endovascular therapy background

    Describes the broad interventional approach used for treatment of narrowed vessels and the setting in which these procedures are performed. It discusses the general role of supportive devices used during the procedure.

  3. New subcategory 00.6 Procedures on blood vessels

    Summarizes the new subcategory and the surrounding exclusion framework for vascular procedures. It then outlines the newly introduced codes in the category and the associated anatomical groupings addressed by the update.

What You Will Learn

  • The scope of the new vascular procedure subcategory introduced by the article
  • The broad anatomical areas covered by the updated cerebrovascular procedure codes
  • The general relationship between angioplasty, atherectomy, and stent insertion in this coding update
  • The types of procedural guidance and exclusions associated with the new code family

Who Should Read This

  • Medical coders
  • Coding educators
  • Compliance staff
  • Reimbursement professionals
  • Interventional radiology billing staff

Codes Discussed

  • ICD-9-CM: 00.61
  • ICD-9-CM: 00.62
  • ICD-9-CM: 00.63
  • ICD-9-CM: 00.64
  • ICD-9-CM: 00.65
  • ICD-9-CM: 99.10
  • ICD-9-CM: 39.50
  • ICD-9-CM: 36.06
  • ICD-9-CM: 36.07
  • ICD-9-CM: 00.55
  • ICD-9-CM: 39.90
  • ICD-9-CM: 38.01
  • ICD-9-CM: 38.02
  • ICD-9-CM: 38.11
  • ICD-9-CM: 38.12
  • ICD-9-CM: 38.31
  • ICD-9-CM: 38.32
  • ICD-9-CM: 38.41
  • ICD-9-CM: 38.42

Code Ranges Discussed

  • ICD-9-CM: 36.06-36.07
  • ICD-9-CM: 38.01-38.02
  • ICD-9-CM: 38.11-38.12
  • ICD-9-CM: 38.31-38.32
  • ICD-9-CM: 38.41-38.42

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