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

Facebook
Twitter
LinkedIn
Email
Print

CPT® copyright 2021 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.