nmpink12
New
Should this be C9600-RC or C9606-RC, I know the rest of the coding for the case is C9601 -RC and 92921-RC. The insurance is Medicaid.
I am confused about when to use 92941/C9606 if the patient has an AMI while on the cath table
Dist RCA lesion is 100% stenosed, reduced to 0%.
• RPDA lesion is 100% stenosed, reduced to 0%.
• 1st RPL lesion is 90% stenosed, reduced to 0%.
• Prox LAD lesion is 90% stenosed.
• Dist LAD lesion is 70% stenosed.
• Severe multivessel coronary artery disease. Patient presents with a late presentation of acute inferior wall myocardial infarction. 100% thrombotic occlusion of the proximal right posterior descending artery. There is a nonculprit 90% stenosis of the proximal LAD and severe diffuse disease of the distal/apical LAD. The right posterior descending artery was successfully wired and the mid vessel was treated with a single 2.5 x 15 mm drug-eluting stent. The proximal right posterior descending artery was treated with a 3.0 x 22 mm drug-eluting stent back into the distal right coronary artery. This was jailing a medium sized PLV branch. The proximal stent was postdilated with a 3.5 mm NC balloon and dilation of the PLV branch was performed with a 2.5 mm balloon. There was TIMI-3 flow in the distal right coronary artery, PDA, and PLV branch at the conclusion of the procedure. 0% residual stenosis.
I am confused about when to use 92941/C9606 if the patient has an AMI while on the cath table
Dist RCA lesion is 100% stenosed, reduced to 0%.
• RPDA lesion is 100% stenosed, reduced to 0%.
• 1st RPL lesion is 90% stenosed, reduced to 0%.
• Prox LAD lesion is 90% stenosed.
• Dist LAD lesion is 70% stenosed.
• Severe multivessel coronary artery disease. Patient presents with a late presentation of acute inferior wall myocardial infarction. 100% thrombotic occlusion of the proximal right posterior descending artery. There is a nonculprit 90% stenosis of the proximal LAD and severe diffuse disease of the distal/apical LAD. The right posterior descending artery was successfully wired and the mid vessel was treated with a single 2.5 x 15 mm drug-eluting stent. The proximal right posterior descending artery was treated with a 3.0 x 22 mm drug-eluting stent back into the distal right coronary artery. This was jailing a medium sized PLV branch. The proximal stent was postdilated with a 3.5 mm NC balloon and dilation of the PLV branch was performed with a 2.5 mm balloon. There was TIMI-3 flow in the distal right coronary artery, PDA, and PLV branch at the conclusion of the procedure. 0% residual stenosis.