Wiki Cardiac PTCA ?

[darmandahl]

Can someone tell me if I am on the right track here; I feel like I am missing something. Patient with dx of arteriosclerotic heart disease had the following: Percutaneous Transluminal Coronary Atherectomy with balloon angoplasty of the left circumflex coronary artery and percutaneous transluminal coronary ballon angioplasty involving the left descendign artery. I got: I25.10, 92924, 92925X2 is that right? And then I don't understand how E Codes apply to this or do they can they?

 

[espressoguy]

Assuming what is listed is what was done, then I think this would be:

92924-LC
92920-LD
dx I25.10

The atherectomy of the LC includes the angioplasty and wouldn't be billed separately.
Since the LD is a separate artery, the angioplasty can be billed with the primary code rather than the additional branch code.