Cardiology Coding Alert

Question: I've heard that we won't be able to use G0392 and G0393 in 2010. Is this true?

Indiana Subscriber

Answer: According to the HCPCS 2010 code set release, HCPCS 2010 does delete G0392 (Transluminal balloon angioplasty, percutaneous; for maintenance of hemodialysis access, arteriovenous fistula or graft; arterial) and G0393 (... venous).

Before CMS established these codes in 2007 for Medicare patients, you reported a percutaneous transluminal angioplasty of an arterial AV fistula or graft using 35475 (Transluminal balloon angioplasty, percutaneous; brachiocephalic trunk or branches, each vessel) for the procedure and 75962 (Transluminal balloon angioplasty, peripheral artery, radiological supervision and interpretation) for the imaging.

When a venous AV fistula or graft angioplasty was performed, you used 35476 (... venous) for the procedure and 75978 (Transluminal balloon angioplasty, venous [e.g., subclavian stenosis], radiological supervision and interpretation) for the imaging.

Resource: You can download the 2010 HCPCS codes at www.cms.hhs.gov/HCPCSReleaseCodeSets/ANHCPCS/list.asp.