Cardiology Coding Alert

Question: There’s a note with +92973 that says not to use the code for aspiration thrombectomy. Which code would be appropriate for that service?

South Carolina Subscriber

Answer: You’ll find that payers consider coronary aspiration thrombectomy to be part of the percutaneous coronary intervention (PCI), such as angioplasty or stenting, so you should not report a separate code for aspiration thrombectomy when performed with PCI.

To report an aspiration thrombectomy performed on its own without an intervention, coding experts recommend 93799 (Unlisted cardiovascular service or procedure).

More information: Code +92973 (Percutaneous transluminal coronary thrombectomy mechanical [List separately in addition to code for primary procedure]) is specific to mechanical thrombectomy. That service involves using a mechanical device that breaks the thrombus into fragments and then removes the clot. AngioJet and X-Sizer are examples. Documentation may include reference to a foot pedal and motor.

An aspiration catheter sucks out the clot without the fragmentation step. Names associated with aspiration catheters include Fetch, Diver, Export, and Pronto. But be sure to base your coding on the procedure described.