Question:

We treated a patient with a chronic total occlusion (CTO) and attempted to get a balloon across the occlusion.  We could not cross it.  For hospital billing, do we report 92943-74 or 92920-74?

Answer:

You would bill 92943-74 since that was the attempted procedure.

92943 Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; single vessel

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