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  1. Default Angiography
    Medical Coding Books
    Here is the procedures performed:

    Selective coronary angiography
    Stenting of RCA-PLA
    PTCA of proximal PLA
    Selective angiography of Left renal artery
    Vascular closure


    Single access was made into the right femoral artery sheath was placed for equipment to pass.

    The proximal PLA (RCA) vessel was intervened on using the cath and guidewire. The initial stenosis was 75%. The lesion was reduced to 50% with a PTCA ballon.

    The proximal PLA (RCA) vessel was intervened on using the cath and guidewire. The initial stenosis was 50%. The lesion was reduced to 0% with a drug-eluting stent.

    The groin access site then underwent angiography through the femoral arterial sheath.


    PLA of RCA: There is 75% proximal lesion
    Left Renal Artery: There is 30% ostial lesion

    Can some please code this and explain it? Is that to much to ask Im just trying to learn. Thank you!!
    Last edited by Melonyw; 05-12-2009 at 09:01 AM.

  2. Default

    Based on the information you provided, the only code you can bill is 92980 - stent placement. You cannot bill for a heart cath or coronary angio, or renal angiograpy as it is not supported in the report. Since the PTCA and Stent were performed in the same artery, RCA or RC, you can only bill for the Stent as the PTCA is bundled into the Stent. This is explained in the medicine section in the CPT book

    Unfortunately you cannot bill for imaging of the femoral sheath unless you find stenosis, lesions or occlusions. if you are imaging the sheath to visualize the artery this is considered "mapping or road mapping" and you cannot separately bill for it.

    If you have the full report I would be more than happy to help you code it.

    Sorry, I couldnt be of more help,
    Dolores, CPC, CCC
    Last edited by deeva456; 05-13-2009 at 06:50 PM.

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