2025 Congenital Coding Update-2025 Congenital Coding Update

Video Transcription

Video Summary

The sixth webinar by the Sky Congenital Coding Workgroup Committee focused on congenital cardiac coding, covering a variety of topics to assist medical professionals in correctly billing and coding procedures. The session began with an introduction to new codes for congenital base catheterizations, which replace old codes based on right, left, and combined heart connections. The webinar highlighted significant increases in value for certain codes and clarified distinctions between normal and abnormal connections, citing examples like coarctation of the aorta and congenital valvar stenosis.<br /><br />Presentations included updates on coding for rare and complex cases, such as PDA and BT shunt stents, coronary artery fistula occlusion, and pulmonary artery flow restrictors. Additionally, the importance of thorough documentation was emphasized, especially when using modifiers to optimize billing. The distinction between co-surgeon and assistant codes was outlined, with recommendations on when to use each, stressing the importance of clear documentation and collaboration.<br /><br />Newly developed venography codes were reviewed, catering to complex anatomies often seen in congenital cases, including azygous, hemiazygous, and contralateral SVC imaging. Lastly, clarification on billing for diagnostic versus therapeutic interventions, including the use of imaging guidance, was provided, alongside reminders about procedural nuances.<br /><br />Throughout the session, the presenters encouraged feedback and further questions from the audience to continue evolving and improving coding practices. Participants were informed they could access a copy of the slide deck and receive MOC credit for attending.

Keywords

congenital cardiac coding

medical billing

catheterization codes

coarctation of the aorta

PDA and BT shunt

venography codes

documentation

diagnostic interventions

therapeutic interventions

MOC credit