Ask Dr. Z

Hello, this question was originally asked/answered in 2015. The recommendation at that time was the embolic protection device was not separately billable using unlisted 93799 during a TAVR because the device was inserted to prevent stroke during the procedure. For FY 2019 CMS has approved the Sentinel Cerebral Protection System for a New Technology Add-On Payment (NTAP) for IPPS using ICD-10-PCS X2A5312. Does this change your advice regarding billing unlisted 93799 for the physician's professional fee or would it still be considered preventive and a component of the TAVR? Thank you.