Compliance Question of the Week – Cardiology

For coding a coronary intravascular lithotripsy (IVL) procedure performed in an outpatient hospital setting, which HCPCS Level II supply code should be reported to ensure eligibility for the OPPS transitional pass-through payment, and how long is this payment expected to be available

A cardiologist performs a medically necessary pulmonary artery angiogram in conjunction with a non-congenital heart catheterization procedure. This angiogram is conducted prior to the placement of a pulmonary artery stent. Which add-on code(s) should be reported to accurately capture this service?

How should providers document the use of the 2024 add-on code for Coronary Shockwave Lithotripsy to address payer denials citing “lack of medical necessity” or insufficient documentation, and how can they demonstrate that the procedure is not incidental but a medically necessary addition to PCI?

When do we report 37236 in 2025 as opposed to 37237?

For 2025, what does code 0913T include and when can it not be reported?

For 2025, what does code 0913T include and when can it not be reported?

When do we report 0914T in 2025?

Would we report code 36907 in 2025 for angioplasty performed in a central segment if a stent placement is also done?

Would we report code 36907 in 2025 for angioplasty performed in a central segment if a stent placement is also done?

What are the common reasons for payer denials of code 92972, and what documentation should providers include to support its medical necessity?

What are the common reasons for payer denials of code 92972, and what documentation should providers include to support its medical necessity?

In what scenarios should code C8924 be reported, and what specific evaluations are typically performed during a 2D limited contrast study of the heart?