tci Part B Insider - 2005 Issue 44

CARDIOLOGY: Reader Question--Don't Have A Heart Attack Over Bundled Angioplasty Codes

Question: The recent National Correct Coding Initiative edits for angioplasty coding have me confused. How should I report 35458 and 35475?Ohio Subscriber   Answer: First of all, get ready with extra documentation when you report 35458 (Transluminal balloon angioplasty, open...) or 35475 (Transluminal balloon angioplasty, percutaneous...). Important: NCCI bundles both codes into catheter placement codes 37215 (Transcatheter placement of intravascular stent[s]...) and 37216 (...without distal embolic protection)--rather than bundling the catheter placement codes into the angioplasty codes, as you might expect. Further, NCCI goes against CPT's instructions on how you can report catheter...

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