CommercialDecember 30, 2022
Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List
Percutaneous coronary intervention:
CPT code |
Description |
92975 |
Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography |
C9600 |
Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch |
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) |
C9602 |
Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch |
C9603 |
Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure) |
C9604 |
Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel |
C9605 |
Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; each additional branch subtended by the bypass graft (list separately in addition to code for primary procedure) |
C9607 |
Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel |
C9608 |
Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; each additional coronary artery, coronary artery branch, or bypass graft (list separately in addition to code for primary procedure) |
C1714 |
Catheter, transluminal atherectomy, directional |
C1724 |
Catheter, transluminal atherectomy, rotational |
C1725 |
Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) |
C1753 |
Catheter, intravascular ultrasound |
C1760 |
Closure device, vascular (implantable/insertable) |
C1761 |
Catheter, transluminal intravascular lithotripsy, coronary |
C1769 |
Guide wire |
C1874 |
Stent, coated/covered, with delivery system |
C1875 |
Stent, coated/covered, without delivery system |
C1876 |
Stent, non-coated/non-covered, with delivery system |
C1877 |
Stent, non-coated/non-covered, without delivery system |
C1885 |
Catheter, transluminal angioplasty, laser |
C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
- Access AIM’s ProviderPortalSM directly at providerportal.com.
- Online access is available 24/7 to process orders in real-time and is the fastest and most convenient way to request authorization.
- Call the AIM Contact Center toll-free number at 877-291-0366, Monday through Friday, from 8 a.m. to 6 p.m. Mountain time.
For questions related to guidelines, contact AIM via email at aim.guidelines@aimspecialtyhealth.com. Additionally, you may access and download a copy of the current and upcoming guidelines here.
PUBLICATIONS: January 2023 Anthem Provider News - Colorado
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