Medicine: Cardiovascular (Bonus Q&A) (December 2013)

December 2013 page 18a Medicine: Cardiovascular Question: Are there circumstances when add-on code 92978 , {Intravascular ultrasound (coronary vessel or graft) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)}, may be reported as a stand-alone code? Answer: No. CPT code 92978 is an add-on code and thus may only be submitted by the physician or qualified health care professional (QHP) performing the primary procedure. This is also the case with add-on code 92979 , Intravascular ultrasound (coronary vessel or graft) during diagnostic evaluation and/or therapeutic intervention...

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

Article Overview

This brief December 2013 CPT Assistant bonus Q&A addresses a cardiovascular coding question involving intravascular ultrasound reporting, add-on code use, and when an unlisted cardiovascular service code is considered in the absence of a primary procedure by the reporting clinician. It is relevant to coders, cardiology practices, and billing staff who work with CPT guidance for diagnostic and interventional cardiovascular services. The article explains the general reporting context and documentation considerations at a high level.

Why This Topic Matters

It helps readers understand that certain cardiovascular reporting scenarios depend on the relationship between the performing provider, the primary service, and the selected CPT reporting path.

Article Sections

  1. December 2013 page 18a

    A brief question-and-answer discussion focused on cardiovascular coding guidance from CPT Assistant. It centers on reporting considerations for intravascular ultrasound and unlisted cardiovascular services.

What You Will Learn

  • The general topic of cardiovascular CPT coding guidance in a Q&A format
  • How add-on service reporting is discussed in relation to a primary procedure
  • When an unlisted cardiovascular service code is addressed in the article
  • The type of supporting documentation mentioned for unlisted service reporting

Who Should Read This

  • Medical coders
  • Cardiology billing staff
  • Physician practices
  • Compliance and reimbursement staff

Codes Discussed


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