Cardiology Question for the Week of June 26, 2023


Am I understanding correctly that the Category III 0715T can only be used when a bare metal stent is placed?


If you are a coding physician, the primary code (non-C codes for DES) would be recognized as a primary code for 0715T. If you are a coding facility (OPPS) for a DES stent and lithotripsy, the C codes as of today are not recognized as a primary code for 0715T so would reject them. If you are performing a bare-metal stent or maybe just an angioplasty with lithotripsy, that would take you to the 929xx codes, which are recognized as primary codes so you could report 0715T in addition.

This question was answered in our annual Cardiology Reimbursement & Compliance Update webcast. For more hot topics relating to cardiology services, please visit our store or call us at 1.800.252.1578, ext. 2.

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