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Medical Billing and Coding Forum - AAPC

A
alwilkinson@herzing.edu
92928 is a standard stent using a balloon to open the vessel. 92930 is for complex cases with hard, calcified plaque that a balloon can't move. In those cases, he must use a "drill" (atherectomy) to shave plaque before the stent fits. If he uses a Rotablator or Diamondback, 92930 is the right code. Using 92928 when he does an atherectomy means you’re missing the extra skill and time he put in
D
dkhadley
I am now confused with the answer-nowhere in the description of code 92930 does it state "Atherectomy". It states 2 or more distinct coronary lesions with 2 or more stents deployed in 2 or more coronary segments, or a bifurcation lesion requiring angioplasty and /or stenting in both the main coronary artery and/or its branch(es)
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