CMS Releases Final List of Medicare Covered Procedures for 2020, to Include Both Cardiac Diagnostic and Treatment Procedures in the ASC Setting

Partner News | Published: Monday, November 4, 2019 5:00 am

by Tony Lafata, Chief Development Officer, National Cardiovascular Partners

National Cardiovascular Partners (NCP) is pleased to announce that on November 1st , the Centers for Medicare and Medicaid Services (CMS) released their final list of Medicare covered procedures for 2020 — and for the first time ever — it includes both cardiac diagnostic and treatment procedures in the ASC setting.

These added codes relate to three specific percutaneous coronary intervention (PCI) procedures — including drug eluding stent placement —  which means that Medicare patients can now receive superior care in a more comfortable, safe and lower-cost, outpatient setting.

In an effort to prepare for this day, back in 2014, NCP began the process of converting our facilities to hybrid centers (ASC & Office-Based Lab). Today, we are well positioned to meet the demands created by the sure and steady migration to comprehensive, outpatient cardiovascular care.

Looking forward, NCP plans to continue our advocacy with CMS to further expand the ASC codes to include other coronary intervention procedures that can be safely performed in an ASC setting.

This is an exciting time for all of us! To learn more about NCP and our team of experts, please go to www.ncplp.com.

 

CY 2020 CPT Code

CY 2020 Long Descriptor

Proposed CY 2020 ASC Payment Indicator

92920

Percutaneous transluminal coronary angioplasty; single major coronary artery or branch

G2

92921

Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)

N1

92928

Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch

J8

92929

Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)

N1

C9600

Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch

J8

C9601

Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)

N1