Diagnostic carotid and cerebral angiography

A historical summary of the evolving changes in coding and reimbursement in a complex procedure family

William D. Donovan, Thabele M. Leslie-Mazwi, Ezequiel Silva, Henry H. Woo, Gregory N. Nicola, Robert M. Barr, Jacqueline A. Bello, Raymond Tu, Joshua A. Hirsch

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Carotid and cerebral angiography have been a mainstay of neurointerventional and neuroradiologic practice for years. Centers for Medicare and Medicaid Services (CMS) and Relative Value Scale Update Committee (RUC) initiatives have compelled the professional societies to bundle component codes under threat of unilateral CMS revision and revaluation. Code bundling usually results in a decrease in the professional Relative Value Unit (RVU) valuation, and thus the MD reimbursement. The year 2013 saw a dramatic revision to the Current Procedural Terminology (CPT) code set that defines carotid and cerebral procedures. This paper reviews the process that led to that code set being revised and estimates the impact on professional reimbursement. We show the current and previous carotid angiography CPT codes and use clinical examples to assess professional RVU valuation before and after code revision.

Original languageEnglish (US)
Pages (from-to)712-717
Number of pages6
JournalJournal of NeuroInterventional Surgery
Volume6
Issue number9
DOIs
StatePublished - Nov 1 2014

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Current Procedural Terminology
Centers for Medicare and Medicaid Services (U.S.)
Cerebral Angiography
Relative Value Scales
Angiography

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology
  • Medicine(all)

Cite this

Diagnostic carotid and cerebral angiography : A historical summary of the evolving changes in coding and reimbursement in a complex procedure family. / Donovan, William D.; Leslie-Mazwi, Thabele M.; Silva, Ezequiel; Woo, Henry H.; Nicola, Gregory N.; Barr, Robert M.; Bello, Jacqueline A.; Tu, Raymond; Hirsch, Joshua A.

In: Journal of NeuroInterventional Surgery, Vol. 6, No. 9, 01.11.2014, p. 712-717.

Research output: Contribution to journalArticle

Donovan, William D. ; Leslie-Mazwi, Thabele M. ; Silva, Ezequiel ; Woo, Henry H. ; Nicola, Gregory N. ; Barr, Robert M. ; Bello, Jacqueline A. ; Tu, Raymond ; Hirsch, Joshua A. / Diagnostic carotid and cerebral angiography : A historical summary of the evolving changes in coding and reimbursement in a complex procedure family. In: Journal of NeuroInterventional Surgery. 2014 ; Vol. 6, No. 9. pp. 712-717.
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