EmilyDingee
Guest
So I got an interesting call from Coding Leader out of FL. The magazine is doing an article on code 99241. I advised him that since there was no documentation stating that code 92941 had to be with in 90 mins of MI that our practice was billing code 92941 per ICD-9 definition of "acute" MI (8 weeks). He sounded surprised and said that the majorityof coders he talked to was following the 90 min rule. I told him that there was no supporting documentation for this he advised me to google ACC/AHA Taskforce on practice guilelines-90mins. I did this and although it is stating for clinical purposes "The medical system goal is to facilitate rapid recognition and treatment of patients with STEMI such that door-to-needle (or medical contact–to-needle) time for initiation of fibrinolytic therapy can be achieved within 30 minutes or that door-to-balloon (or medical contact–to-balloon) time for PCI can be kept under 90 minutes." I dont see any reference to any CPT codes or coding guidelines. For now our practice will continue to use code 92941 up to 8 weeks for treatment of acute MI.