Cardiology Question for the Week of August 21, 2017

Cardiology Compliance Question of the Week

Question:

What code would I use for the second stent if the doctor’s dictation states “MI in the LAD and RC”? If I can only assign code 92941 one time, what code do I use for the additional artery?

Answer:

If the patient is having an acute myocardial infarction (AMI) in the left anterior descending (LAD) artery and right coronary (RC), which would be rare, you would only assign 92941 once for professional or for a bare metal stent for the facility.

92941 Percutaneous transluminal revascularization of acute total/subtotal occlusion during AMI, coronary artery or coronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel

If a drug-eluting stent (DES) was placed, you would report the following level II code for the facility:

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

The second major coronary artery stenting would be reported using the normal stent codes (92928) for professional or for a bare metal stent for the facility. If a DES was placed in the RC, you would report C9600 for the facility.

92928 Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch
C9600 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.