Cardiology Question for the Week of February 29, 2016

Cardiology Compliance Question of the Week

Question:

How would you code a patient that came in with a STEMI of the LAD and had a DES placed in LAD but then had a dissection in the circumflex artery and had a DES placed there as well? Would it be C9606 LD and C9606 LC, or would the circumflex not be considered a STEMI?

Answer:

The code for PCI during acute myocardial infarction can only be assigned once. If, in this case, the LAD was the culprit lesion, the following would be assigned: 

C9606-LD        Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel

C9600-LC       Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.