AMA CPT® Assistant - 2014 Issue 1 (January)
Percutaneous Coronary Intervention for Acute Total or Subtotal Occlusion During Acute Myocardial Infarction (January 2014)
January 2014 pages 3-4 Percutaneous Coronary Intervention for Acute Total or Subtotal Occlusion During Acute Myocardial Infarction Percutaneous coronary intervention (PCI) performed for acute total or subtotal occlusion of the target vessel during acute myocardial infarction is inclusive of all balloon angioplasty, atherectomy, stenting, manual aspiration thrombectomy, distal protection, and intracoronary rheolytic agent administration performed. Mechanical thrombectomy is reported separately. For the purposes of PCI coding, the designation "during acute myocardial infarction" refers to a procedure that meets all three of the following requirements: Electrocardiographic changes consistent with acute myocardial infarction are recognized; for example, any of the following:...
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Article Overview
This January 2014 CPT Assistant article explains coding guidance for percutaneous coronary intervention during acute myocardial infarction. It is relevant to cardiology, catheterization laboratory staff, and medical coders who need to understand the scope of the PCI service, related procedural components, and the circumstances discussed for reporting. The article also includes a clinical example, a coding tip, and a frequently asked question to clarify the topic at a high level.
Why This Topic Matters
PCI cases during acute myocardial infarction can involve multiple intertwined procedures and timing considerations. Accurate understanding of the article helps coders and clinicians recognize what the premium guidance addresses and when the referenced CPT guidance applies.
Article Sections
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January 2014 pages 3-4
Introductory CPT Assistant page reference and topic framing for the article.
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Percutaneous Coronary Intervention for Acute Total or Subtotal Occlusion During Acute Myocardial Infarction
Overview of the PCI topic, including the general clinical setting addressed and the types of procedural components discussed.
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Clinical Example (92941)
Illustrative case examples connected to the PCI topic and the referenced CPT code.
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Coding Tip
Brief coding guidance related to timing and the clinical setting discussed in the article.
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Clinical Example* (92928)
Additional example noted as not meeting the acute MI criteria described in the article.
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Frequently Asked Question
A question-and-answer section focused on terminology used in the referenced CPT descriptor.
What You Will Learn
- How the article frames PCI in the setting of acute myocardial infarction
- Which broad procedural components are discussed as part of the PCI topic
- What kinds of clinical scenarios are contrasted in the article
- What supplemental guidance appears in the coding tip and FAQ sections
Who Should Read This
- Medical coders
- Cardiology billing staff
- Cath lab staff
- Physician documentation reviewers
- Compliance and coding educators
Codes Discussed
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