Question:
Can you clarify the basics for using 92920-92944. I think it is the term nuclear medicine that is confusing me.
How is the medicine codes related to cath codes?
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Answer:
Gamma Camera is used to visualize the organ. Following Blood flow with Gamma particles in the blood. Stress and Rest Cardiac stress test - then give you E/F, then Cath done with exact location. Less invasive.
ANY ORGAN GROUP. Same Gamma with different pharmaceutical for each organ group. Ultimately Function testing is being done. Less exposure than an X-ray. Radiology looks at anatomy where Nuclear Medicine is anatomy and physiology (function) They can overlay two images which allows the physician to compare and locate damage or disease.
The order of testing is commonly:
Cardiology ultrasound
Nuclear Medicine imaging
NM is a good beginning point but may not be first.
Coronary Artery Angioplasty, Atherectomy & Stent Placement
CPT 92920: Angioplasty, single artery or branch
CPT+92921: Angioplasty, each additional
CPT 92924: Atherectomy, single artery or branch
CPT +92925: Atherectomy, each additional
CPT 92928/C9600: Stent placement, single artery or branch
CPT +92929/+C9601: Stent placement, each additional
CPT 92933/C9602: Atherectomy with stent, single artery or branch
CPT +92934/+C9603:
Atherectomy with stent, each additional
CPT 92937/C9604: Graft revascularization, single vessel
CPT+92938/+C9605: Graft revascularization, each additional
Branch
CPT 92941/C9606: Revascularization of acute total/subtotal
occlusion during myocardial infarction, single vessel
CPT 92943/C9607: Revascularization of CTO, single vessel, native
coronary artery, branch or bypass graft
CPT +92944/+C9608: Revascularization of CTO, each additional
native coronary artery, branch or bypass graft
Revascularization codes 92937-92944/C9604 -C9608 include any combination of stent placement, atherectomy , and angioplasty
