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Myocardial Resection for Epicardial Bridge

  1. #1
    Default Myocardial Resection for Epicardial Bridge
    Exam Training Packages
    Can anyone offer assistance with the procedure? I have never had to code this before and the surgeon did not have any suggestions either. It may be unlisted but if anyone has any thoughts they would be much appreciated.

    DX-Unstable Angina associated with long intramyocardial bridge of the LAD

    Thank you
    Darlene

  2. #2
    Default Unstable Angina
    Quote Originally Posted by darlene0208 View Post
    Can anyone offer assistance with the procedure? I have never had to code this before and the surgeon did not have any suggestions either. It may be unlisted but if anyone has any thoughts they would be much appreciated.

    DX-Unstable Angina associated with long intramyocardial bridge of the LAD

    Thank you
    Darlene

    Code should be "411.1"

    As per Medical dictonary actual defination of Intramyocardial bridge is Intramural coronary artery Surgical anatomy A band of myocardium that encases a segment of a large coronary artery–most often the left anterior descending branch; if the IB is compressed–as may occur in strenuous physical exertion, perfusion of a large region of myocardium may be compromised and cause sudden death due to V fib. So this should be the surgical history of patient.
    It helps you.

  3. #3
    Default
    Thank you so much for the information. Any suggestions on the procedure code?
    Darlene

  4. Default
    I've never coded this and, without the note, I'm still just guessing. What about CPT 33507?

    Lisi, CPC
    eharkler@nmh.org

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