Results 1 to 4 of 4

Stent in ramus and lad

  1. Default Stent in ramus and lad
    Medical Coding Books
    What is the correct way to code a stent placement in the ramus intermedius and the LAD? Thanks in advance.

  2. Default
    The Ramus is a branch off the Left Main and lies between the LAD and LCX and not everyone has a Ramus. Instead of the Left Main splitting into 2 vessels (LD And LC) it splits into 3 vessles (LD, LC and Ramus). But the Ramus is considered a branch (and not a vessel)of the either the LD or the LC so the branch rules apply

    So basically you are placing a stent on 1 vessel and another stent on a branch of a 2nd vessel with both coming off of the Left Main. Medicare has been pretty clear that they will only consider interventions on the 3 vessles identified by CPT, the LD, LC and RC.

    So for codng, the Ramus can be coded as either a branch of the LD or the LC. So suggest coding
    92980-LD (your LAD vessel)
    92981-LC (the ramus branch of the LC)

  3. Default
    Thanks for responding, that is how I have been coding it but for some reason I was second guessing myself this time. I also have another question I was wondering if you would be willing to tackle. When aortography is done in conjuction with stend and cath and stent an report states aortography confirms only 2 patent grafts. No dissecction anuerysm how should this be coded? I have been using the 93544 unless they comment on renals or something. Is this correct?

  4. Default
    92980 & 92980 deleted codes in CPT 2013. To report see 92920-92944

Similar Threads

  1. Lhc, no lv gram, ptca-lad, stents-lad
    By dlsill in forum Cardiology
    Replies: 4
    Last Post: 07-18-2013, 07:54 AM
  2. Stent- lad, ascending aortogram
    By OPENSHAW in forum Cardiology
    Replies: 1
    Last Post: 05-07-2013, 05:26 AM
  3. Replies: 0
    Last Post: 09-11-2012, 04:32 PM
  4. Ramus stent with LAD stent
    By lklundt in forum Cardiology
    Replies: 1
    Last Post: 03-26-2012, 10:20 AM
  5. LM and Ramus intervention (stent)
    By coding?4u in forum Cardiology
    Replies: 1
    Last Post: 07-14-2010, 04:02 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.