NCCI 13.1 UPDATE: Find Out How Angioplasty Edits Affect HCPCS Codes G0392-3

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

Article Overview

This article covers an NCCI 13.1 update focused on angioplasty-related edits and how they affect claims involving HCPCS codes G0392 and G0393. It is intended for coders, billing staff, and compliance teams who need to understand the scope of the edit changes, the related procedure categories discussed, and the general compliance implications for reporting and claims processing.

Why This Topic Matters

These edits can affect whether certain services are reportable together on the same claim, which makes the update relevant for correct claim submission, compliance review, and denial prevention.

Article Sections

  1. Update overview and claim impact

    Introduces the NCCI update and explains why the angioplasty-related edits matter for claim processing. It frames the article around HCPCS codes and bundled procedure groups.

  2. Codes in question

    Identifies the primary HCPCS codes discussed in the update and places them in the context of dialysis access angioplasty services.

  3. What's changed

    Summarizes the change in how the dialysis fistula angioplasty services are handled under NCCI and notes the related broader PTA code references. It also addresses the use of modifiers in the context of the edit.

  4. Clinical guidance note

    Highlights guidance attributed to a professional society regarding dialysis fistula PTA reporting considerations. The section provides general context without reproducing detailed coding direction.

  5. The lowdown

    Lists the categories of procedures affected by the NCCI edit update, along with related guidance about how the edits are structured. The discussion is organized by service type and supporting procedure category.

What You Will Learn

  • The scope of the NCCI 13.1 update related to angioplasty claims
  • Which HCPCS codes are central to the dialysis fistula PTA discussion
  • What types of accompanying procedures are addressed in the article
  • How the article frames modifier-related edit handling at a high level
  • Which professional guidance source is referenced in connection with dialysis fistula PTA

Who Should Read This

  • Medical coders
  • Billing professionals
  • Compliance staff
  • Revenue cycle teams
  • Interventional radiology coding staff
  • Dialysis access billing specialists

Codes Discussed

  • HCPCS Level II: G0392
  • HCPCS Level II: G0393
  • CPT: 35475
  • CPT: 35476
  • CPT: 01924
  • CPT: 01930
  • CPT: 36000
  • CPT: 36005
  • CPT: 36002
  • CPT: 36410
  • CPT: 37184
  • CPT: 36870
  • CPT: 37202
  • CPT: 62318
  • CPT: 62319
  • CPT: 64415
  • CPT: 64416
  • CPT: 64417
  • CPT: 64450
  • CPT: 64470
  • CPT: 64475
  • CPT: 76942
  • CPT: 76998
  • CPT: 77002
  • CPT: 90760
  • CPT: 90765
  • CPT: 90772
  • CPT: 90774
  • CPT: 90775
  • CPT: 99143
  • CPT: 99144

Code Ranges Discussed

  • HCPCS Level II: G0392-G0393
  • CPT: 35475-35476
  • CPT: 99143-99144

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