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Balloon angioplasty of the saphenous vein graft

  1. #1
    Default Balloon angioplasty of the saphenous vein graft
    Medical Coding Books
    I have another one that I think I have, but want to check to make sure. Any help would be greatly appreciated.

    Indications: A 70 year old with history of coronary disease, status post prior bypass graft surgery presents for scheduled PCI following no in-stent restenosis of the proximal stent within the vein graft to the PDA.

    Procedures Performed: Balloon angioplasty of the saphenous vein graft to the PDA with a 4.0 x 15 mm Quantum balloon.

    Complications: none

    Procedure in Detail: After obtaining informed consent, the patient was transferred to the cardia catheterization laboratory in stable condition. The patient was draped and prepped in a sterile fashion. The right groin was anesthetized locally using 1% lidocaine. The right femoral is cannulated using modified Seldinger technique, and a 6 French arterial sheath was introduced. A multipurpose guide catheter was advanced into the saphenous vein graft without difficulty. A filter wire was deployed using standard technique. The proximal stent was dilated for in stent restenosis using a 4.0 x 15 mm Quantum balloon taken to high pressure. After multiple inflations, the angiographic result was excellent with 0% residual stenosis and TIMI 3 flow.

    Impression: Successful balloon angioplasty of the saphenous vein graft to the diagonal branch for in stent restenosis with a 4.0 x 15 mm Quantum balloon.


    I think I would code 92980 LD.

    Is this correct?

    Thanks,
    Leslie

  2. Default
    Quote Originally Posted by willnat2 View Post
    I have another one that I think I have, but want to check to make sure. Any help would be greatly appreciated.

    Indications: A 70 year old with history of coronary disease, status post prior bypass graft surgery presents for scheduled PCI following no in-stent restenosis of the proximal stent within the vein graft to the PDA.

    Procedures Performed: Balloon angioplasty of the saphenous vein graft to the PDA with a 4.0 x 15 mm Quantum balloon.

    Complications: none

    Procedure in Detail: After obtaining informed consent, the patient was transferred to the cardia catheterization laboratory in stable condition. The patient was draped and prepped in a sterile fashion. The right groin was anesthetized locally using 1% lidocaine. The right femoral is cannulated using modified Seldinger technique, and a 6 French arterial sheath was introduced. A multipurpose guide catheter was advanced into the saphenous vein graft without difficulty. A filter wire was deployed using standard technique. The proximal stent was dilated for in stent restenosis using a 4.0 x 15 mm Quantum balloon taken to high pressure. After multiple inflations, the angiographic result was excellent with 0% residual stenosis and TIMI 3 flow.

    Impression: Successful balloon angioplasty of the saphenous vein graft to the diagonal branch for in stent restenosis with a 4.0 x 15 mm Quantum balloon.


    I think I would code 92980 LD.

    Is this correct?

    Thanks,
    Leslie
    92982 LD

    92980 is a stent code. You need the angioplasty code.
    Theresa Dix CCS-P CPMA CCC ICDCT-CM

  3. #3
    Default
    Theresa,

    Thanks, I knew that code, I guess I just got in a hurry and put the 99280 down. Thank you so much for all of your help. I read all of the posts every couple of days, and print a lot of the stuff out. I am trying to study to take my CPC test. Tonight the chapter that AAPC put me with is having a meeting and the speaker will be speaking on Peripheral Interventions/Cardiology, so I am going. I hope to learn a lot there. It will also be my first meeting.
    Thanks,
    Leslie

  4. Smile
    Quote Originally Posted by willnat2 View Post
    Theresa,

    Thanks, I knew that code, I guess I just got in a hurry and put the 99280 down. Thank you so much for all of your help. I read all of the posts every couple of days, and print a lot of the stuff out. I am trying to study to take my CPC test. Tonight the chapter that AAPC put me with is having a meeting and the speaker will be speaking on Peripheral Interventions/Cardiology, so I am going. I hope to learn a lot there. It will also be my first meeting.
    Thanks,
    Leslie
    Leslie,

    You are welcome for any help I can give anytime. I figured you knew the correct code.
    Theresa Dix CCS-P CPMA CCC ICDCT-CM

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