Ask Dr. Z

In the process of obtaining IRB approval to perform transcatheter pulmonary valve placement in our cath lab. Not sure as to the correct coding as there is no specific CPT code for this procedure. Device used is a stent/valve combination. At a recent training session, physicians were informed that CPT committees are not reviewing this procedure until the aortic valve stents are available because they feel there are not enough of these cases to warrant review, and it was recommended to physicians to report 92990/37205 to ensure reimbursement. Other centers already performing procedure stated that they were not getting reimbursement using 93799, and now also reporting the 92990/37205/75960 combination. Is it appropriate to report this procedure as a stent placement?