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The diagonal does branch off of the LAD. I would have to query the physician on that one. But I believe it would be considered in my opnion.
 
branches

Look at a good diagram and print it off; the Diagonals do come off the LAD

You can code that second and should. The reimbursement does not reflect in the professional fee, but the SCAI is trying to get the extra work acknowledged at least on the technical/facility side.

http://www.scai.org/Advocacy/Detail.aspx?cid=d965c29e-d24b-4a86-ae75-1f4a51e872a3

This is why the second code was created but not reimbursable

92928 Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch
92929 Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure)
 
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