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How should a DES stenting of the native LCx be reported when the graft is navigated to arrive at the lesion? Is this reported with 92928-LC/C9600-LC? Is there any additional code or work that can be awarded in this situation?
Stenting of a native LCx artery via the cannulation of a bypass graft is reported with stent code 92937-LC for professional fee services and C9604-LC for facility charges. Note the definition of code 92937 – Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy, and angioplasty, including distal protection when performed; single vessel. The extra complexity and work of cannulating and navigating the graft to arrive at the LCx for stenting is captured by the use of 92937/C9604 instead of 92928/C9600 alone.
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