Significant changes in Current Procedural Terminology (CPT)* coding will be implemented in 2018. Notably, considerable changes have been made to codes for reporting endovascular repair of abdominal aorta and/or iliac arteries. This article provides reporting information about the codes that are relevant to general surgery and its related specialties. Flaps Code 15732, Muscle, myocutaneous, or fasciocutaneous flap; head and neck (i.e., temporalis, masseter muscle, sternocleidomastoid, levator scapulae), was deleted and replaced with new code 15733 to more clearly describe a muscle, myocutaneous, or fasciocutaneous flap that involves one of six different named vascular pedicles. In addition, new code 15730 was established to describe a midface flap that does not involve a named vascular pedicle.

Embolectomy of brachial artery using balloon catheter via upper extremity incision. Thrombectomy of brachial artery using catheter via upper extremity incision. Embolectomy of axillary artery with direct removal of embolus via upper extremity incision. Thrombectomy of innominate artery by aspiration using catheter via upper extremity incision. Sep 10, 2011  2.Angioplasty of arterial to venous fistula, right upper extremity, cephalic vein to antecubital vein utilizing 6mm angioplasty balloon 3.Completion.

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• • • • Tip: Correctly code percutaneous transluminal coronary angioplasty APCs Insider, August 27, 2010 Want to receive articles like this one in your inbox? Percutaneous transluminal coronary angioplasty is a nonsurgical procedure that involves inserting a small balloon catheter into an artery in the groin or arm and advancing it to the narrowing in the coronary artery.

The physician then inflates the balloon to enlarge the artery. In most cases, the physician also inserts a stent to keep the vessel open. The blockage stretches the artery and it can’t snap back after the physician removes the blockage. The physician should specify the artery in which the procedure is performed and any movement into a different artery. Use CPT codes 92982 and 92984 to report balloon angioplasty performed in the hospital outpatient setting, but ensure the angioplasty is not bundled into another procedure, such as stent placement. Because of the way the codes are configured with the 92984 add-on code, there can be a main stent, but if a balloon procedure occurs in a different vessel, the balloon procedure becomes an add-on to the stent procedure.

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Report codes 92980 and the add-on code 92981 for each additional vessel for non-drug eluting stents in a hospital outpatient facility. This tip is adapted from “Get to the heart of percutaneous coronary procedures” in the August issue of.