Patient had cardiac cath followed by PCI & thrombectomy of LC.
92980/LC
92973
93548/26/59
Later that day, severe chest pain and EKG changes occurred & patient went back to cath lab for acute stent thrombosis. Doc performed coronary angiography that demonstrated thrombotic occlusion within the stented segment. He performed mechanical thrombectomy, PTCA & IVUS of the stented segment.
I'm looking for input on coding the 2nd procedure. I can't modify the 92982 for the PTCA even though it's a separate session, so he just loses that? And would/should I bill the coronary angiography - 93454/26/59 since new symptoms developed? Otherwise, I'm just left with the IVUS and 2nd thrombectomy maybe with a 78?
TIA,
Carol Wright, CPC
92980/LC
92973
93548/26/59
Later that day, severe chest pain and EKG changes occurred & patient went back to cath lab for acute stent thrombosis. Doc performed coronary angiography that demonstrated thrombotic occlusion within the stented segment. He performed mechanical thrombectomy, PTCA & IVUS of the stented segment.
I'm looking for input on coding the 2nd procedure. I can't modify the 92982 for the PTCA even though it's a separate session, so he just loses that? And would/should I bill the coronary angiography - 93454/26/59 since new symptoms developed? Otherwise, I'm just left with the IVUS and 2nd thrombectomy maybe with a 78?
TIA,
Carol Wright, CPC