Wiki Definition of artery vs branch

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kmwalker

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The CPT definition of 92920 is Angioplasty single major coronary artery or branch. And 92982 is the stent with angio artery or branch .

If the provider documents angioplasty on one (1) lesion in the Left Main and then places a stent another lesion in 1st Obtuse Marginal. Can 92920 and 92928. Be billed(this would be for a Medicare patient that bundles 92921 &92929.
This is to get clarification for an office that is interpreting the definitions differently.
Thanks for your help.
 
Yes for the answer on the question about 92920 and 92928. However, you would append correct anatomic modifier on 92920 and the correct anatomic modifier for the 92928, as it is a separate lesion, separate site.

Code 92921 and code 92929 are add-on codes and would be for another angioplasty on another branch in addition to the first one (92920) and 92929 would also be for another stent on another branch or artery in addition to the first one (92928). They would have to billed with 92920 and 92929. I hope this helps.
 
Percussionistic1 said:
Yes for the answer on the question about 92920 and 92928. However, you would append correct anatomic modifier on 92920 and the correct anatomic modifier for the 92928, as it is a separate lesion, separate site.

Code 92921 and code 92929 are add-on codes and would be for another angioplasty on another branch in addition to the first one (92920) and 92929 would also be for another stent on another branch or artery in addition to the first one (92928). They would have to billed with 92920 and 92929. I hope this helps.
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Thank you for the response, so to clarify for me, please...
Because the 2nd lesion had a stent put in at the 1st obtuse marginal and not considered a branch of the Left Main, it can be coded as another main. So it would be
92920 LM 92928 LC (?)
Again, thanks for your help
Kim
 
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