Cardiology Question for the Week of July 4, 2016

Cardiology Compliance Question of the Week

Question:

A patient presents with coronary artery disease and tents are placed in the OM1, OM2, and posterolateral artery. In this patient, the posterolateral arises from the left circumflex artery. No stent or other intervention is performed in the left circumflex artery itself, only in the three branches. Would codes 92928, 92929 x 2 be assigned, or 92928, 92929 x 1?

Answer:

According to CPT advisors representing the American College of Cardiology and the Society for Cardiovascular Angiography and Interventions, it would be appropriate to report code 92928 x 1 for the initial vessel even though it is in a branch, and code 92929 x 2 for the additional distinct branch vessels treated as they are in different recognized branches.

92928

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

+92929

Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure)

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.