Coding and Coverage

Carotid

Coronary

Coronary Microvascular Dysfunction

ICD-10 Diagnosis Codes Effective October 1, 2023

Coronary microvascular dysfunction is now formally recognized as a diagnosis through the creation of four ICD-10-CM codes effective October 1, 2023. The new codes can be found on the CDC’s website. The new codes describe the various forms of coronary microvascular dysfunction that will help clinicians identify and accurately diagnose patients with CMD. For more information on CMD, please go to Coronary Microvascular Dysfunction Overview on Abbott's website.

The four ICD-10 diagnosis codes describing Coronary Microvascular Dysfunction are:

I20.81 – Angina pectoris with coronary microvascular dysfunction
I21.B – Myocardial infarction with coronary microvascular dysfunction
I24.81 – Acute coronary microvascular dysfunction
I25.85 – Chronic coronary microvascular dysfunction

Peripheral

Vessel Closure Details

The following code has been assigned to occlusive devices by CMS: G0269

G0269 is defined as: placement of an occlusive device in either a venous or arterial access site, post-surgical or interventional procedure. Code G0269 should be used on Medicare claims to record the placement of the vasoseal and for other payers as directed.

Everolimus Eluting Resorbable Scaffold 

ICD-10 Procedure Codes Effective October 1, 2024

Centers for Medicare and Medicaid Services (CMS) has issued the following New Technology ICD-10 PCS codes for the implantation of everolimus-eluting resorbable scaffold in below-the-knee arteries (e.g., Esprit™ BTK Everolimus Eluting Resorbable Scaffold System).

The new ICD-10 PCS codes are for use in the hospital inpatient setting, effective October 1, 2024.

The ICD-10 PCS codes describing everolimus-eluting resorbable scaffold implantation are:

X27P3TA - Dilation of Right Anterior Tibial Artery with Intraluminal Device, Everolimus-eluting Resorbable Scaffold(s), Percutaneous Approach, New Technology Group 10

X27Q3TA - Dilation of Left Anterior Tibial Artery with Intraluminal Device, Everolimus-eluting Resorbable Scaffold(s), Percutaneous Approach, New Technology Group 10

X27R3TA - Dilation of Right Posterior Tibial Artery with Intraluminal Device, Everolimus-eluting Resorbable Scaffold(s), Percutaneous Approach, New Technology Group 10

X27S3TA - Dilation of Left Posterior Tibial Artery with Intraluminal Device, Everolimus-eluting Resorbable Scaffold(s), Percutaneous Approach, New Technology Group 10

X27T3TA - Dilation of Right Peroneal Artery with Intraluminal Device, Everolimus-eluting Resorbable Scaffold(s), Percutaneous Approach, New Technology Group 10

X27U3TA -Dilation of Left Peroneal Artery with Intraluminal Device, Everolimus-eluting Resorbable Scaffold(s), Percutaneous Approach, New Technology Group 10