Doctor did cornary angio, then did PTCA see description below for PTCA:
A french guide cath was positioned in right coronary ostium, then the vessel was wired w/great diffuculty due to tortuosity and calcification. Eventually, he was able to get a whisper wire into distal RCA. Following this, multiple attemps were made to pass low profile balloons to the lesion site, but he was never able to get the ballon past promixal vessel due to calcification and tortuosity. Attempt was made w/sprinter balloon. this was changed out for another sprinter balloon. In addition, a buddy wire was advanced. A cougar wire was advance, but he could never get the cougar wire into distal RCA, so it was advanced into mid RCA only. Multiple attempts were made to advance these balloons again, none of them would cross, it vecame clear that he would never be able to do this . Following this, he selected another cath and inserted it into the separate sotium of the circumflex arter, then he advanced the whisper wire to the distal lesion in the posterolateral branch. Again, multiple attempts were made to advance this wrie, but due to toruoisity and what apppeared to be stable calcified plaque in the distal segment, he was never able to advance the wire across that lestion.after extemsive efforts, he elected to stop. Angiomax bolus and infusion were begun at start of procedure and ths was stopped at end of procedure. Sheath was sew into position.
I coded this as 92920 RC-52 and 92920 LC,52 Any suggestions?
A french guide cath was positioned in right coronary ostium, then the vessel was wired w/great diffuculty due to tortuosity and calcification. Eventually, he was able to get a whisper wire into distal RCA. Following this, multiple attemps were made to pass low profile balloons to the lesion site, but he was never able to get the ballon past promixal vessel due to calcification and tortuosity. Attempt was made w/sprinter balloon. this was changed out for another sprinter balloon. In addition, a buddy wire was advanced. A cougar wire was advance, but he could never get the cougar wire into distal RCA, so it was advanced into mid RCA only. Multiple attempts were made to advance these balloons again, none of them would cross, it vecame clear that he would never be able to do this . Following this, he selected another cath and inserted it into the separate sotium of the circumflex arter, then he advanced the whisper wire to the distal lesion in the posterolateral branch. Again, multiple attempts were made to advance this wrie, but due to toruoisity and what apppeared to be stable calcified plaque in the distal segment, he was never able to advance the wire across that lestion.after extemsive efforts, he elected to stop. Angiomax bolus and infusion were begun at start of procedure and ths was stopped at end of procedure. Sheath was sew into position.
I coded this as 92920 RC-52 and 92920 LC,52 Any suggestions?
