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Doc Payments For Coronary Stenting Will Drop Next Year, But Will Better Reflect Procedure Complexity

New coding structure for coronary stenting recognizes more complex procedure with higher levels of Medicare reimbursement, but overall physician payments for percutaneous coronary interventions will go down in 2013.

Medicare payments to interventional cardiologists for coronary angioplasty, stenting and atherectomy procedures will better reflect the clinical complexity of a patient’s situation, but overall reimbursement will be less come Jan. 1 when new payment codes in the final 2013 physician fee schedule rule take effect.

CMS will be using a new set of current procedural terminology (CPT) codes to differentiate between simple and complex catheterization lab procedures in a way that is not accomplished by...

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