Interventional cardiology is a subspecialty of cardiology that focuses on the use of catheters to treat structural heart diseases. The prevention of scars and discomfort, as well as a long post-operative recovery, are the key benefits of using an interventional cardiology or radiology approach. It includes removing clots from occluded coronary arteries and inserting stents and balloons through a small hole drilled into a major artery.Kindly visit Advanced Heart And Vascular Of Central New Jersey to find more information.
With the implementation of the latest cardiology coding update, coding for interventional cardiovascular services has undergone significant changes, making coding and billing for these services complicated and confusing. This year, cardiologists will use more complicated codes to identify procedures and intensive care given to patients, but reimbursement for services will be at an all-time low.
The American Medical Association (AMA) has accepted 13 additional percutaneous coronary procedures codes, including base codes for angioplasty, atherectomy, and stenting. When codes 92941 or 92943 are used, a separate set of codes for percutaneous transluminal revascularization for acute complete or subtotal occlusion is also used.
A single code is usually used to report a cardiac operation that is conducted in the main vessel and an adjacent branch. However, with the new codes, only a base code and an add-on code for each additional branch of a major coronary artery are needed to disclose the operation. Cardiologists will benefit from the reforms because they will be able to better represent their job and receive only compensation for the complex and time-consuming procedures they conduct.
However, there are concerns about the use of these new codes. Physicians will not be charged for add-on codes, according to the final provision of the 2013 Medicare Physician Fee Schedule, which was released on November 1. The reason for refusing the add-on codes, according to officials, is that they are concerned that they would allow physicians to insert more stents than necessary.
According to SCAI officials, the Medicare fee schedule provision is also being considered to see whether doctors will report add-on CPT codes even if they aren’t paid by Medicare.
There are also financial ramifications. While the CMS’s decision was unexpected, it would help to mitigate the financial burden on doctors because payment for base codes was raised by Medicare when the decision was made that payment for add-on codes would not be made.