Hello List,
It seems there is a lot of confusion about which code(s) to apply when a patient has an intervention/stent during an MI (92941) when additional branches or vessels are treated during the same procedure.
The "crosswalk" we received in January from Jim Collins/Cardiology Coder.com, instructs us to use 92941 for the infarct vessel, AND 92941 for each additional branch and/or major coronary vessel treated.
Another expert, Dr. Zielske, instructs us to code 92941 for the initial, major vessel with 92929 for branch vessels and/or 92928 for additional major vessels.
Both of these coding sources are excellent and usually very reliable, but in this case they contradict each other.
From what I've read, most of you are going with Dr. Zielske's interpretation of the codes.
Has anyone found specific information from the AMA/CPT or ACC that clarifies how to apply the PCI codes, during an MI , when multiple vessels/branches are also treated?
Thanks!
Elizabeth
It seems there is a lot of confusion about which code(s) to apply when a patient has an intervention/stent during an MI (92941) when additional branches or vessels are treated during the same procedure.
The "crosswalk" we received in January from Jim Collins/Cardiology Coder.com, instructs us to use 92941 for the infarct vessel, AND 92941 for each additional branch and/or major coronary vessel treated.
Another expert, Dr. Zielske, instructs us to code 92941 for the initial, major vessel with 92929 for branch vessels and/or 92928 for additional major vessels.
Both of these coding sources are excellent and usually very reliable, but in this case they contradict each other.
From what I've read, most of you are going with Dr. Zielske's interpretation of the codes.
Has anyone found specific information from the AMA/CPT or ACC that clarifies how to apply the PCI codes, during an MI , when multiple vessels/branches are also treated?
Thanks!
Elizabeth