pravintc
Networker
Hello team,
There is a lot of confusion about which code(s) to apply when a patient has an intervention/stent during an MI (92941) when additional branches or vessels are treated during the same procedure.
The "crosswalk" I received instructs us to use 92941 for the infarct vessel, AND 92941 for each additional branch and/or major coronary vessel treated.
Another instructs us to code 92941 for the initial, major vessel with 92929 for branch vessels and/or 92928 for additional major vessels.
The physician stented two major coronary vessels during acute MI. both the vessels were totally occluded. can i code 92941-RC, 92941-LC, 93454-xu or 92941-LC, 92928-xu-RC, 93454-xu
![attachment-1.jpg attachment-1.jpg](https://www.aapc.com/discuss/data/attachments/1/1881-30ebfbaf5b682a62b84e5f1452c9918d.jpg)
![attachment-2.jpg attachment-2.jpg](https://www.aapc.com/discuss/data/attachments/1/1882-2f222954f6fbc759c4f350273d88c058.jpg)
![attachment-3.jpg attachment-3.jpg](https://www.aapc.com/discuss/data/attachments/1/1883-ce8edc256ec9cfe0053eedd7df3d5df4.jpg)
please suggest
There is a lot of confusion about which code(s) to apply when a patient has an intervention/stent during an MI (92941) when additional branches or vessels are treated during the same procedure.
The "crosswalk" I received instructs us to use 92941 for the infarct vessel, AND 92941 for each additional branch and/or major coronary vessel treated.
Another instructs us to code 92941 for the initial, major vessel with 92929 for branch vessels and/or 92928 for additional major vessels.
The physician stented two major coronary vessels during acute MI. both the vessels were totally occluded. can i code 92941-RC, 92941-LC, 93454-xu or 92941-LC, 92928-xu-RC, 93454-xu
![attachment-1.jpg attachment-1.jpg](https://www.aapc.com/discuss/data/attachments/1/1881-30ebfbaf5b682a62b84e5f1452c9918d.jpg)
![attachment-2.jpg attachment-2.jpg](https://www.aapc.com/discuss/data/attachments/1/1882-2f222954f6fbc759c4f350273d88c058.jpg)
![attachment-3.jpg attachment-3.jpg](https://www.aapc.com/discuss/data/attachments/1/1883-ce8edc256ec9cfe0053eedd7df3d5df4.jpg)
please suggest