Cardiology is a complex area full of challenges that can drive confusion for coders across the nation. Even more, cardiology services are only expected to grow in the coming years, meaning increased reimbursement dollars will be on the line. February is American Heart Month, bringing special attention to the area of cardiology. With changes on the line for 2024, let’s explore the nuances of coronary intravascular lithotripsy, one area our experts have targeted for review.
Coronary Intravascular Lithotripsy (Coronary IVL) employs a lithotripter device aimed at calcified coronary lesions, fracturing them through sonic pressure wave generation. Derived from kidney stone treatment lithotripsy, this procedure utilizes the Shockwave Coronary IVL catheter by Shockwave Medical, the current market offering. Additionally, other coronary IVL catheters are under development by Fastwave Medical and Cardiovascular Systems Incorporated, awaiting market release.
+92972 Percutaneous transluminal coronary lithotripsy (List separately in addition to
code for primary procedure)
To code correctly it is important to understand the complete service nuances. The Shockwave Coronary Intravascular Lithotripsy (IVL) catheter utilizes a balloon mechanism to deliver pressurized saline in a circular motion to the diseased coronary vessel’s inner lumen walls. An electrode catheter within the balloon generates electrical impulses, creating vaporizing bubbles that transmit sonic pressure waves through the saline. These pressure waves are then transmitted to the surface of the interior lumen of the vessel walls. The waves fracture the calcium, pressing the material into the interstitial layers of the coronary wall, making the lesion more pliable and reducing the degree of stenosis. This is typically followed with the application of stenting to the area, which is a separately reported service.
These are NOT all the tips and tricks necessary for cardiology coding.
As service volumes rebound and every dollar of reimbursement counts more than ever in the face of payment cuts, it’s imperative to make sure your CPT® coding is correct and compliant. Master more cardiology coding topics and break down the complexity with our cardiology resources. We have an exclusive offer just for you. Use code HEART24 on ANY of our cardiology resources by 2/23/24 for 20% off your purchase. Find the right resource tailored to your needs today before the offer expires!
A Monitor Monday listener recently sent word of what can only be described as a deeply troubling denial of a gender reassignment surgery. The listener
Normally, I write about substantive law, but today I’m going to focus more on psychology. The idea was triggered by the subject line in an
Please log in to your account to comment on this article.
Only ICD10monitor delivers what you need: updates on must-know changes associated with the FY26 IPPS, including new ICD-10-CM/PCS codes, CCs/MCCs, and MS-DRGs, plus insights, analysis and answers to your questions from two of the country’s most respected subject matter experts.
This third session in our 2026 IPPS Masterclass will feature a review of FY26 changes to the MS-DRG methodology and new technology add-on payments (NTAPs), presented by nationally recognized ICD-10 coding expert Christine Geiger, MA, RHIA, CCS, CRC, with bonus insights and analysis from Dr. James Kennedy.
This second session in our 2026 IPPS Masterclass will feature a review the FY26 changes to ICD-10-PCS codes. This information will be presented by nationally recognized ICD-10 coding expert Christine Geiger, MA, RHIA, CCS, CRC, with bonus insights and analysis from Dr. James Kennedy.
This first session in our 2026 IPPS Masterclass will feature an in-depth explanation of FY26 changes to ICD-10-CM codes and guidelines, CCs/MCCs, and revisions to the MCE, presented by presented by nationally recognized ICD-10 coding expert Christine Geiger, MA, RHIA, CCS, CRC, with bonus insights and analysis from Dr. James Kennedy.
RACmonitor is proud to welcome back Dr. Ronald Hirsch, one of his most requested webcasts. In this highly anticipated session, Dr. Hirsch will break down the complex Two Midnight Rule Medicare regulations, translating them into clear, actionable guidance. He’ll walk you through the basics of the rule, offer expert interpretation, and apply the rule to real-world clinical scenarios—so you leave with greater clarity, confidence, and the tools to ensure compliance.
Bring your questions and join the conversation during this open forum series, live every Wednesday at 10 a.m. EST from June 11–July 30. Hosted by Chuck Buck, these fast-paced 30-minute sessions connect you directly with top healthcare experts tackling today’s most urgent compliance and policy issues.
Fraud convictions don’t just punish a few bad claims; they can wipe out years of reimbursements. Don’t wait for an audit to learn the rules. Join Frank Cohen, MPA, for a live Q&A on spotting red flags, avoiding liability, and protecting your practice. Register now and bring your questions!
Substance abuse is everywhere. It’s a complicated diagnosis with wide-ranging implications well beyond acute care. The face of addiction continues to change so it’s important to remember not just the addict but the spectrum of extended victims and the other social determinants and legal ramifications. Join John K. Hall, MD, JD, MBA, FCLM, FRCPC, for a critical Q&A on navigating substance abuse in 2025. Register today and be a part of the conversation!
Copyright © 2025 RACmonitor. Powered by MedLearn Media.
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24
