AHA Coding Clinic® for ICD-9 - 2008 Issue 4; VOLUMES 1 AND 2 NEW/REVISED CODES

Intravascular Spectroscopy

Effective October 1, 2008, a new code (38.23) was created to specifically identify intravascular spectroscopy. This procedure is performed to identify the chemical composition of coronary plaques by shining a near infrared (NIR) light at the plaque and measuring the amount of light reflected at different wavelengths (spectroscopy). The procedure is performed on patients undergoing cardiac catheterization. The NIR system consists of a laser light source, an automated pullback and rotation device, an intravascular chemography (IVCG) catheter, which provides an optical signal, and a console. The system is used during a coronary stenting procedure to interrogate â&euro...

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