Health Policy and Government Relations

Provided by the
Society for Vascular Surgery®

Coding Change for Percutaneous Transluminal Balloon Angioplasty

The Centers for Medicare and Medicaid Services (CMS) has decided that only one percutaneous transluminal balloon angioplasty code can be reported when intervening on a hemodialysis graft. The graft is considered a single vessel and is defined as: the arterial anatomosis and the ouflow vein up to, but not including, the subclavian vein. The two codes are G0392 (transluminal balloon angioplasty, percutaneous; for maintenance of hemodialysis access; AV fistula or graft; arterial) and G0393 (same but venous). SVS submitted comments to CMS advising the agency to define the anatomic limits of the two G-codes. The code with higher RVU value (G0392) will be used if both codes of the code pair are reported together. View the National Correct Coding Initiative letter with additional details. 
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