2026 Coding Debrief: Lessons, Questions, and Next Steps-2026 Coding Debrief: Lessons, Questions, and Next Steps

Video Transcription

Video Summary

The SCI webinar on 2026 coding updates, led by Dr. Andy Goldswig and a panel of interventional cardiologists and coding experts, explored complex cases and discussed new procedural coding paradigms primarily for coronary and peripheral interventions. The panel reviewed a detailed PCI case involving multiple lesions, utilizing catheters, IFR, intravascular ultrasound, shockwave balloon lithotripsy, and stenting in the left anterior descending and right coronary arteries. They emphasized accurate code selection and proper documentation to ensure appropriate billing, highlighting codes such as 99152 for sedation, 36215 for supradiaphragmatic first-order catheterization, and the appropriate PCI codes including 92928 and 92930. Key discussions included handling bifurcation lesions in the left main coronary artery and differentiating between complex vs. straightforward procedures.<br /><br />Peripheral vascular coding changes were also outlined, noting a significant code overhaul that now rewards interventionists treating complex lesions such as occlusions in iliac, femoral, and inframalleolar segments. Complex and straightforward lesions have distinct codes, with occlusions qualifying as complex regardless of length or calcification. The panel stressed careful segmentation of arterial territories for coding, distinguishing femoral profunda from SFA-popliteal regions for add-on codes. The addition of new codes for inframalleolar interventions represents progress in limb salvage reimbursement. Participants were cautioned to document thoroughly, avoid overcoding, and be mindful of current coding limitations, especially around atherectomy and drug-coated balloon procedures.<br /><br />Overall, the webinar underscored the complexity of the new coding system, the importance of clear physician-coder communication, and ongoing efforts by SCI and partners to clarify and advocate for fair reimbursement practices. Resources and further educational opportunities were recommended to support adaptation to these coding changes.

Asset Caption

closed captions are AI-generated

Keywords

SCI webinar

2026 coding updates

interventional cardiology

PCI case

coronary interventions

peripheral vascular coding

complex lesions

billing and documentation

coding paradigms

reimbursement practices