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
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
CPT: 92978
CPT: 92979
CPT: 93799
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