How To Use CPT Code 0715T

CPT 0715T describes the percutaneous transluminal coronary lithotripsy procedure, which is used to break up calcifications in a coronary vessel. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0715T?

CPT 0715T can be used to describe the percutaneous transluminal coronary lithotripsy procedure. This procedure involves breaking up calcifications in a coronary vessel using sound waves introduced through a balloon-based catheter. It is performed as an add-on procedure to another primary service.

2. Official Description

The official description of CPT code 0715T is: ‘Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure).’ This code should be used in conjunction with specific primary procedure codes, such as 92920, 92924, 92928, 92933, 92937, 92941, 92943, or 92975.

3. Procedure

1. During the percutaneous transluminal coronary lithotripsy procedure, the provider accesses the coronary vessel through a small opening in the skin.
2. A guidewire is then introduced through the opening and used to navigate a specialized catheter to the target coronary vessel site.
3. The provider performs transluminal coronary lithotripsy using a lithotripsy device that delivers sound waves through the balloon-based catheter to break up calcifications in the coronary vessel.
4. Once the procedure is complete, the provider withdraws the catheter system and stops any bleeding at the site of access.

4. Qualifying circumstances

Patients who may require the percutaneous transluminal coronary lithotripsy procedure are those with calcifications in their coronary vessels. This procedure is typically performed in conjunction with another primary service, such as angioplasty or stenting. It is important to note that this code should only be used when the lithotripsy procedure is performed in a coronary vessel.

5. When to use CPT code 0715T

CPT code 0715T should be used when the provider performs the percutaneous transluminal coronary lithotripsy procedure as an add-on to another primary service. It is important to report this code in conjunction with the appropriate primary procedure code to ensure accurate billing.

6. Documentation requirements

To support a claim for CPT code 0715T, the provider must document the following information:

• Indication for the percutaneous transluminal coronary lithotripsy procedure
• Details of the primary procedure performed
• Procedure start and end times
• Specific details of the lithotripsy procedure, including the use of sound waves to break up calcifications
• Any complications or additional interventions performed
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT code 0715T, ensure that the procedure is performed as an add-on to another primary service. Report this code in conjunction with the appropriate primary procedure code, such as angioplasty or stenting. It is important to note that payers may not reimburse for this code if it is not reported with a primary procedure code. Additionally, follow any specific billing guidelines provided by the payer to ensure accurate reimbursement.

8. Historical information

CPT code 0715T was added to the Current Procedural Terminology system on July 1, 2022. There have been no updates to the code since its addition.

9. Examples

1. A provider performs percutaneous transluminal coronary lithotripsy in conjunction with angioplasty for a patient with calcifications in their coronary vessels.
2. During a cardiac catheterization procedure, the provider uses percutaneous transluminal coronary lithotripsy to break up calcifications in a coronary vessel.
3. A patient undergoes percutaneous transluminal coronary lithotripsy as part of a complex intervention for coronary artery disease.
4. As an add-on to a stenting procedure, the provider performs percutaneous transluminal coronary lithotripsy to address calcifications in a coronary vessel.
5. A patient with severe calcifications in their coronary vessels undergoes percutaneous transluminal coronary lithotripsy in conjunction with atherectomy.
6. During a coronary angiogram, the provider identifies significant calcifications and performs percutaneous transluminal coronary lithotripsy to address the issue.
7. A patient with recurrent coronary artery disease undergoes percutaneous transluminal coronary lithotripsy as part of a complex revascularization procedure.
8. As an add-on to a coronary artery bypass grafting procedure, the provider performs percutaneous transluminal coronary lithotripsy to address calcifications in a coronary vessel.
9. A patient with chronic total occlusion in their coronary vessels undergoes percutaneous transluminal coronary lithotripsy as part of a complex intervention.
10. During a percutaneous coronary intervention, the provider uses percutaneous transluminal coronary lithotripsy to address calcifications in a coronary vessel.