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New to cardiac cath coding. Payer says 92928 and 92920 bundled into 92941??

Q

Quaker

Networker
Messages
47
Location
Sewickley, PA
In short, patient presented to cath lab with Anterolateral STEMI in cardiogenic shock. MD performed Left heart catheterization with ventriculography. Impella placed. Drug-eluting stent L main. Balloon angioplasty and stent Prox LAD. Angioplasty LC. Reported 93458-26 59, 92941 LM, 92928 LD, 92920 LC and 33990. Payer paid 93458, 92941 and 33990. Says other 2 codes bundled into 92941. Is this correct?
 
Is the LM/LAD/LC stenosis the same lesion? That may be the reason for 92928-LD and 92920-LC is not getting paid. If you can send a report it may help.
HTH,
Jim Pawloski, CIRCC
 
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