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coding interventions in ramus

  1. Default coding interventions in ramus
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    Hi everyone, I was just wondering what is the correct way to code ivus in mid rca, and mid ramus, and stent in rca and stent in mid ramus. I always struggle with this as the ramus is not a vessel recognized by medicare. do i use the vessel modifiers lad or lcx to code it as it arises from between the two. thanks for your help

  2. #2
    Location
    Richardson, TX
    Posts
    822
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    For an IVUS in Mid RCA - +92978

    IVUS Mid Ramus (LD) - +92979

    Stent code; Mid RCA - 92980

    Stent; Mid Ramus - 92981
    Julie Graham, BA, CPC, CCC

  3. #3
    Location
    Birmingham, Alabama
    Posts
    889
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    Quote Originally Posted by mshelly87 View Post
    Hi everyone, I was just wondering what is the correct way to code ivus in mid rca, and mid ramus, and stent in rca and stent in mid ramus. I always struggle with this as the ramus is not a vessel recognized by medicare. do i use the vessel modifiers lad or lcx to code it as it arises from between the two. thanks for your help

    very good question.
    I do not disagree with jewl, her answer is as good as any I have seen. Since the ramus is neither LD or LC (I have always considered it LC ) my advice is to be consistent whichever you choose. I do not alternate the modifiers when the ramus and another site are treated even if it means one may not be coded/reimbursed.

    HTH
    Danny L. Peoples
    CIRCC,CPC

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