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
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Wiki coding interventions in ramus
- Thread starter mshelly87
- Start date
jewlz0879
True Blue
For an IVUS in Mid RCA - +92978
IVUS Mid Ramus (LD) - +92979
Stent code; Mid RCA - 92980
Stent; Mid Ramus - 92981
IVUS Mid Ramus (LD) - +92979
Stent code; Mid RCA - 92980
Stent; Mid Ramus - 92981
dpeoples
True Blue
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
