The document outlines key changes in cardiology coding for 2017, emphasizing updates in transluminal angioplasty codes, introduction of new codes for paravalvular leak closure, and alterations in ICD-10-CM guidelines. It highlights new billing codes for procedures including left atrial appendage closure, mechanochemical vein ablation, and coronary thrombectomy. Additionally, it details updates regarding symptoms and diagnoses such as prediabetes and paroxysmal atrial fibrillation that are relevant for coding.

1. Cardiology Coding:
Changes You Need to Know for 2017!
Presented By:
Rachel M. Kaser, BS, CPC, MHSA
AHIMA-Approved ICD-10-CM/PCS Trainer
Auditor; SuperCoder.com

2. Course Objectives
• Become familiar on reporting transluminal angioplasty codes and where
bundling is applied
• Find out the meaning behind EKG’s in order to accurately complete
coding
• Understand changes to the ICD-10-CM coding guidelines
• Learn about the new codes set forth for hypertensive crisis and
hypertensive emergency
• Obtain knowledge about the new codes for renal and visceral angioplasty
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3. Transluminal Angioplasty (Peripheral)
• Reorganized, recorded, relocated for 2017
• 35450-35476 are deleted within CPT
• CPT refers you to codes 36902, 36905, 36907 and 37246, 37247,
37249
• Note: CPT instructs you to report both selective and non-selective
catheterization separately
• Intravascular ultrasound and mechanical thrombectomy along with
thrombolytic therapy may also be reported separately
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4. Transluminal Angioplasty (Peripheral)
• 36902, 36905, 36907: Part of a new series of codes for diagnostic
catheterization and intervention for dialysis circuits (36901-36909)
• Includes all imaging guidance, supervision and interpretation
• If coding for non-dialysis, i.e., renal or visceral arteries, see codes
37246-37249
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5. Transluminal Angioplasty (Peripheral)
• 37246-37247 are for ANGIOPLASTY within the arteries
• 37248-37249 are for venous angioplasty
• All codes are reporting open and percutaneous angioplasty
• All codes include the imaging and radiological supervision necessary
to perform the procedures
• Additional radiology codes 75791, 75962, 75964, 75968, 75970 have
been deleted from the 2017 CPT manual
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6. Paravalvular Leak Closure
• Billable codes now available for Paravalvular leak closures
• 93590: Percutaneous closure of Paravalvular leaks for the mitral valve
• 93591: Percutaneous closure of Paravalvular leaks for the aortic valve
• Codes report INITIAL occlusion device only
• +93592: Each additional device
• INCLUDES fluoroscopic imaging guidance, angiography and
radiological imaging services
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7. Left Atrial Appendage Closure
(LAAC)
• New CPT code includes the imaging
• Category I code 33340
• Ensure you do not bill separately for the radiological supervision and
interpretation
• Do not report a diagnostic heart catheterization separately with this
procedure unless distinctly documented per CPT guidelines
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8. Mechanochemical (MOCA) Vein Ablation
• Codes 36473-36474 have been added for Mechanochemical (MOCA)
Vein Ablation
• Code choice is now distinct based on the type of ablation method
utilized (i.e., TECHNIQUE)
• Imaging guidance and monitoring are all inclusive with these new
codes
• Ensure add on codes 36474, 36476, 36479 are only reported once per
extremity
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9. Coronary Thrombectomy
• Add on code: 92973
• Mechanical thrombectomy (i.e., Angiojet procedure) is separately
reportable with a coronary intervention
• Non-mechanical “aspiration” thrombectomy should NOT be reported
with this code
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10. ICD-10-CM Updates: Cardiology
• R73.03: Prediabetes
• Common symptoms documented within the encounter:
• High blood pressure
• HDL cholesterol is below 35 milligrams per deciliter
• Triglyceride level is above 250 mg/dL
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11. ICD-10-CM Updates: Cardiology
• Diagnosis: Paroxysmal Atrial Fibrillation
• I48.0: Paroxysmal Atrial Fibrillation
• Sequenced first when it is the primary reason for the encounter as
determined within the Assessment and Plan
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