Wiki Stent and POBA coding question

[cvand1972]

I'm sure this question has been asked several times, but I just can't search anymore....
A Stent was placed in the distal left circumflex artery.
A Balloon Angioplasty was performed in the OM3 branch of the left circumflex artery.
Could I code 92928 and 92920-59?
Or should it be 92928 and 92921?
My thoughts are torn between the two.

 

[Jim Pawloski]

I'm sure this question has been asked several times, but I just can't search anymore....
A Stent was placed in the distal left circumflex artery.
A Balloon Angioplasty was performed in the OM3 branch of the left circumflex artery.
Could I code 92928 and 92920-59?
Or should it be 92928 and 92921?
My thoughts are torn between the two.

I would bill 92928-lc and 92921-om, since the OM is a branch of the LC. You may not get paid for the PTCA, but still bill it.
HTH,
Jim Pawloski, CIRCC

 

[balloju]

? Regarding the Modifier---OM

I would bill 92928-lc and 92921-om, since the OM is a branch of the LC. You may not get paid for the PTCA, but still bill it.
HTH,
Jim Pawloski, CIRCC

I agree with the above codes, but do we have Modifier for Obtuse marginal as OM.

I remember the M are RI, RC, LD, LCD & LM.

can you please let me know if any M in any book, so I can claim a case similar to that.
Thanks

 

[klbreznau]

I agree with the above codes, but do we have Modifier for Obtuse marginal as OM.

I remember the M are RI, RC, LD, LCD & LM.

can you please let me know if any M in any book, so I can claim a case similar to that.
Thanks

Modifier for OM is LC, branches off for left circumflex coronary artery.