Wiki CPT 92933 vs CPT 92924 and CPT 92928

[ashae17]

Please advise, regarding CPTs 92933, 92924, and 92928, under which circumstances would you report CPT 92933 (combo code) for the same coronary artery, as opposed to CPT 92924 and 92928 reported separately? Modifier 59 would be added to CPT 92924. I've seen it reported separately so would like some insight.

For example, atherectomy performed in the proximal and mid LAD, angioplasty plus stent placement in the mid LAD.

CPT 92933- Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch
or
CPT 92924- Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; single major coronary artery or branch
and
CPT 92928- Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch

 

[Jim Pawloski]

That is what called unbundling a code. What you bill for your example, you will code 92933. If atherectomy was only done (or with angioplasty) bill 92924. Stent placement is 92928.

HTH,
Jim Pawloski, CIRCC