OPENSHAW
Guru
We had a patient come in for the following procedure:
Left heart Catheterization
Selective Coronary Arteriograms
Percutaneous transluminal angioplasty of a very complex lesion of the left circumflex followed by stenting of the trunk of the left circumflex.
Indication of the procedure: Patient with stress test that was abnormal and angina pectoris. The patient has unstable angina and coronary artery disease.
The patient originally was scheduled for a LHC BUT WE Wound UP STENTING.
Op report states it was decided to proceed with coronary angioplasty as the patient had critical stenosis of the left circumflex. There was 99% stenosis at the site of bifurcation at the origin of the 1st obtuse marginal. There was also 60% stenosis of the trunk of the left circumflex. The lesion was extremely complex, but because of the patient's age and overall condition, there was no choice but to proceed with percutaneous transluminal angioplasty in order to improve the overall status of the patient.
Do I bill for CPT Code 92928-LC-22
AND can I bill for CPT Code 93458-26-59 due to the patient originally coming in for this procedure.
Help! Thank you!
Left heart Catheterization
Selective Coronary Arteriograms
Percutaneous transluminal angioplasty of a very complex lesion of the left circumflex followed by stenting of the trunk of the left circumflex.
Indication of the procedure: Patient with stress test that was abnormal and angina pectoris. The patient has unstable angina and coronary artery disease.
The patient originally was scheduled for a LHC BUT WE Wound UP STENTING.
Op report states it was decided to proceed with coronary angioplasty as the patient had critical stenosis of the left circumflex. There was 99% stenosis at the site of bifurcation at the origin of the 1st obtuse marginal. There was also 60% stenosis of the trunk of the left circumflex. The lesion was extremely complex, but because of the patient's age and overall condition, there was no choice but to proceed with percutaneous transluminal angioplasty in order to improve the overall status of the patient.
Do I bill for CPT Code 92928-LC-22
AND can I bill for CPT Code 93458-26-59 due to the patient originally coming in for this procedure.
Help! Thank you!
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