Notification

Percutaneous Coronary Intervention, Coronary Angiography and Arterial Ultrasound (AmeriHealth)


Notification Issue Date: 04/01/2019



Policy Attachment



Attachment to Policy # 11.02.27b


Attachment:A

Policy #:11.02.27b

Description:Percutaneous Coronary Intervention, Coronary Angiography and Arterial Ultrasound Code List

Title:Percutaneous Coronary Intervention, Coronary Angiography and Arterial Ultrasound (AmeriHealth)


Inclusion of a code in this table does not imply reimbursement. Eligibility, benefits, limitations, exclusions, precertification/referral requirements, provider contracts, and Company policies apply.

The codes listed below are updated on a regular basis, in accordance with nationally accepted coding guidelines. Therefore, this policy applies to any and all future applicable coding changes, revisions, or updates.

In order to ensure optimal reimbursement, all health care services, devices, and pharmaceuticals should be reported using the billing codes and modifiers that most accurately represent the services rendered, unless otherwise directed by the Company.


Percutaneous Coronary Intervention, Coronary Angiography and Arterial Ultrasound that require precertification/preapproval through AIM Specialty Health (AIM)



PERCUTANEOUS CORONARY INTERVENTION (PCI)
CPT/HCPCS Code
92920
92924
92928
92933
92937
92943
HCPCS CODES THAT ARE SUSPECT MATCH TO THE PRIMARY CODES
C9600
C9602
C9604
C9607
Add-On Codes (Note: Add-On Codes do not require a separate authorization from the primary procedure)
92921
92925
92929
92934
92938
92944
C9601
C9603
C9605
C9608
CORONARY ANGIOGRAPHY
CPT Code
93454
93455
Add-On Codes (Note: Add-On Codes do not require a separate authorization from the primary procedure)
93567

RIGHT AND/OR LEFT HEART CATHETERIZATION WITH CORONARY ANGIOGRAPHY
CPT Code
93456
93457
93458
93459
93460
93461
Add-On Codes (Note: Add-On Codes do not require a separate authorization from the primary procedure)
93462
93463
93464
93566
93567
93568

NON-INVASIVE DIAGNOSTIC VASCULAR STUDIES
CPT Code
93978
93979
93880
93882
93922
93923
93924
93925
93926
93930
93931


Version Effective Date: 07/01/2019
Version Issued Date: 07/01/2019
Version Reissued Date: N/A



2017 AmeriHealth.