Cardiology Coding Alert

Question: Should we report 92980 for a drug-eluting stent on a non-Medicare patient (instead of G0290)?


Iowa Subscriber

Answer: Yes, you must. The G codes, such as G0290 (Transcatheter placement of a drug-eluting intracoronary stent[s], percutaneous, with or without other therapeutic intervention, any method; single vessel), apply only to hospitals when billing for Medicare patients.

Because you're billing for the physician work, 92980 (Transcatheter placement of an intracoronary stent[s], percutaneous, with or without other therapeutic intervention, any method; single vessel) is appropriate.

Rule: Although G0290 accurately describes drug-eluting stents, this is a supply code only reimbursed to facilities.