Reader Question:
LC, LD, RC Information Found in Payer Manual
Published on Thu Sep 15, 2011
Question:
I searched Interventional Cardiology LCD L30283 regarding 92980-92984, but it doesn't indicate modifier requirements for location of the intervention. Where can I find this information? Codify Member
Answer:
The LCD you reference is from Trailblazer, which offers a Modifier Manual at
www.trailblazerhealth.com/Publications/Training%20Manual/Modifiers.pdf.
Page 5 of the modifier manual has a "Coronary Artery" section. It states:
- LC Left circumflex coronary artery
- LD Left anterior descending coronary artery
- RC Right coronary artery
Use these modifiers to indicate the specific vessel involved in the procedure; they are only valid for CPT® codes 92980, 92981, 92982, 92984, 92995 and 92996.
These codes include:
- 92980-+92981, Transcatheter placement of an intracoronary stent(s), percutaneous, with or without other therapeutic intervention, any method ...
- 92982, +92984, Percutaneous transluminal coronary balloon angioplasty ...
- 92995-+92996, Percutaneous transluminal coronary atherectomy, by mechanical or other method, with or without balloon angioplasty ...