Wiki Coding pressure wires for artery branches (2013)

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rebeccadyke84

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Local Chapter Officer
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Hello, I have a procedure report that includes these 2 Pressure wires (aka Radi-wire) along with a left heart cath(93458,26):

Pressure wire measurement (fractional flow reserve, FFR) of the left anterior descending artery.
Pressure wire (fractional flow reserve, FFR) of the first diagonal.

I will code 93571,LD for the first one, but can I code 93572 for the diagonal branch? I know the new 2013 rules state I can code interventions for a major artery and its branch now but do pressure wires fall under the same rule?

Thanks!
 
rebeccadyke84 said:
Hello, I have a procedure report that includes these 2 Pressure wires (aka Radi-wire) along with a left heart cath(93458,26):

Pressure wire measurement (fractional flow reserve, FFR) of the left anterior descending artery.
Pressure wire (fractional flow reserve, FFR) of the first diagonal.

I will code 93571,LD for the first one, but can I code 93572 for the diagonal branch? I know the new 2013 rules state I can code interventions for a major artery and its branch now but do pressure wires fall under the same rule?

Thanks!
Click to expand...

No, the FFR/IVUS doesn't fall under those rules. Can only bill 93571 once and don't use the add-on code for diagonal.

Jessica CPC, CCC
 
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