In the cardiovascular imaging community, there has been much anticipation over the last few months regarding the proposed addition of some codes to the ambulatory surgery center (ASC) payable list. Well, the day has come and it is good news!
On November 1st, the Centers for Medicare and Medicaid Services (CMS) announced the release of the official 2020 payment rules for ASCs. One of the biggest changes in the rules was the addition of six codes for reimbursement of percutaneous coronary intervention (PCI) procedures performed within the walls of an ASC.
According to the Ambulatory Surgery Center Association, the PCI codes entering the schedule in 2020 include:
- 92920 (Prq cardiac angioplast 1 art)
- 92921 (Prq cardiac angio addl art)
- 92928 (Prq card stent w/angio 1 vsl)
- 92929 (Prq card stent w/angio addl)
- C9600 (Perc drug-el cor stent sing)
- C9601 (Perc drug-el cor stent bran)
The question now is what the real-world ramifications of the CMS ruling are going to be. In speaking with customers ahead of the ruling, there seemed to be a mix of excitement and apprehension. We’ll be monitoring the response to this news in the ASC community as well as providing additional information regarding how this ruling might affect your practice and decision making in the near future.
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