SpideRX Distal Embolic Protection Device

The patient had an extensive cardiac history and is status post coronary artery bypass graft. He had non-ST elevation myocardial infarction, was found to have a severe lesion of a vein graft to the right posterior descending artery and underwent successful stent placement of two stents along with a SpideRX® distal embolic protection device. What are the appropriate procedure codes? ...

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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 premium article discusses procedure coding considerations for a cardiac intervention involving a distal embolic protection device used during coronary stent placement in a patient with prior bypass surgery and acute coronary syndrome. It is intended for coders and revenue cycle professionals who need to understand the general coding context, procedure categories, and related inpatient procedure code assignments covered in the article.

Why This Topic Matters

Cardiac catheter-based procedures can involve multiple related procedure categories, and accurate identification of the applicable inpatient procedure codes is important for correct reporting and claims processing.

What You Will Learn

  • The general procedure coding context for a coronary intervention using distal embolic protection.
  • How the article frames coding considerations for stent placement in a graft-related cardiac procedure.
  • Which procedure code categories are implicated by the example discussed in the article.
  • How the article applies inpatient procedure coding to the scenario.

Who Should Read This

  • Medical coders
  • Inpatient coding specialists
  • Cardiology revenue cycle staff
  • Hospital billers

Codes Discussed

  • ICD-10-PCS: 00.66
  • ICD-10-PCS: 36.06
  • ICD-10-PCS: 00.40
  • ICD-10-PCS: 00.46

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