Cardiology Question for the Week of January 9, 2017

Cardiology Compliance Question of the Week


If non-selective renal angiography is performed at the time of a dagnostic cardiac catheterization, should level ll HCPCS code G0275 be reported? Is this code for hospitals or physician billing? Is this code for Medicare or non-Medicare patients?


To correctly bill/charge for non-selective renal angiography performed at the time of a cardiac catheterization, report CPT code 75625. While G0275 did describe this precise service, the Centers for Medicare & Medicaid Services (CMS) deleted this code in 2014. It does not matter whether you are billing the professional (i.e., physician) or technical (i.e., hospital) component or a Medicare or non-Medicare patient. Assuming there is medical necessity to perform the procedure and documentation substantiates the service provided, CPT code 75625 would be used. Be certain to check the national correct coding initiative (CCI) edits when reporting this code (75625) with other CPT codes describing diagnostic cardiac catheterization when performed on the same date of service.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.