Code Details & Principles for K4920
Code details & principles for
K4920
- Chapter 8 / Heart - Cardiology
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| K4920 | Percutaneous transluminal angioplasty of coronary artery(ies) for chronic total occlusions (CTO), +/- insertion of stent | 8.9.0 Heart - Cardiology |
Unacceptable Combinations for K4920
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| K4180 | Robotic assisted bypass for coronary artery(ies) including harvesting of grafts and endarterectomy (CABG) | 2013-11-22 |
| K4900 | Percutaneous transluminal angioplasty of coronary artery(ies) (including laser) | 2012-02-27 |
| K4902 | Percutaneous transluminal angioplasty of coronary artery(ies) with intravascular ultrasound (including laser) | 2012-02-27 |
| K4910 | Percutaneous transluminal angioplasty of coronary artery(ies) with stent insertion | 2012-02-27 |
| K4912 | Percutaneous transluminal angioplasty of coronary artery(ies) with stent insertion and intravascular ultrasound | 2012-02-27 |
| K5020 | Coronary angiography proceeding to angioplasty on the same day, +/- insertion of stent | 2014-06-19 |
| K5040 | Rotablation of coronary vessel(s) percutaneous transluminal rotational atherectomy (PCRS) +/- insertion of stent | 2013-11-22 |
| K5050 | Coronary angioplasty following angiography with intravascular ultrasound on the same day, +/- insertion of stent | 2014-04-29 |
| K6581 | Coronary angioplasty following angiography with fractional flow study on the same day, +/- insertion of stent | 2014-04-29 |
| L6800 | Repair of limb artery | 2012-06-11 |
| L7110 | Percutaneous transluminal angioplasty of artery, +/- insertion of stent | 2014-04-29 |
| XR254 | Angioplasty of other arteries (e.g. sub-clavian, tibial, femoro-popliteal) including peripheral angiogram +/- insertion of stent | 2014-04-29 |
| XR260 | Angioplasty with insertion of metallic stent | 2010-01-20 |
| XR270 | Angioplasty with insertion of metallic stent - graft | 2010-01-20 |
Coding Principles
These coding principles set out how the authors intend that the codes and narratives within the CCSD Schedule are interpreted and used. The outputs are available to be used by all individual insurers and providers including CCSD and non-CCSD members. Please note that:
- The CCSD Group does not discuss nor determine classifcations, reimbursement or fees - all insurers will have their own view on these matters
- The inclusion of a procedure code and/or its associated coding principles in the CCSD Schedule does not necessarily mean that it is endorsed by all members of the CCSD Group and codes may or may not be included in individual insurers' own Schedules or covered
- The coding principles are non-exhaustive guidelines only - each individual insurer may choose whether or not to adopt an individual combination of codes in practice and you will need to contact the insurer for further information