Question:
Instead of the diagnostic cardiac cath procedure described in question 8 and the subsequent TPM insertion, what if instead only a percutaneous coronary intervention (PCI) was performed? If a TPM is inserted/implanted at the same clinical session, can the TPM (i.e., CPT 33210) be coded for and modified in addition to the PCI code?
Answer:
Per the NCCI Policy Manual for Medicare Services instructions, we would not recommend coding separately for the TPM performed at the same encounter.