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Question:
Instead of the diagnostic cardiac cath procedure described in question 8 and the subsequent TPM insertion, what if instead only a percutaneous coronary intervention (PCI) was performed? If a TPM is inserted/implanted at the same clinical session, can the TPM (i.e., CPT 33210) be coded for and modified in addition to the PCI code?
Answer:
Per the NCCI Policy Manual for Medicare Services instructions, we would not recommend coding separately for the TPM performed at the same encounter.
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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
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