AHA Coding Clinic® for HCPCS - 2024 Issue 1; Ask the Editor

Attempted stenting of a coronary artery chronic total occlusion with drug-eluting stent insertion of a separate vessel

A patient with coronary artery chronic total occlusion (CTO) and stenosis presents for insertion of drug-eluting stents into the ramus branch and the mid-circumflex arteries. Local anesthesia was utilized. The right radial artery was prepped and a 7-French sheath was inserted. A run-through wire was advanced to the ramus branch and a 2.5 x 22 mm drug-eluting stent was deployed up to 16 atmospheres. A microcatheter was advanced to the mid-circumflex artery initially, over the run-through wire and then a coated guidewire was used. Due to several attempts to cross the total occlusion, the procedure was discontinued. The physician made the decision to treat the patient medically.What is the correct CPT code(s) and modifier(s) for a successful PTCA with drug-eluting stent insertion into the ramus artery? What is the correct code(s) and modifier(s) for the attempts to place the stent into the mid-circumflex artery? ...

To read the full article, sign in and subscribe to the AHA Coding Clinic® for HCPCS.

Thank you for choosing Find-A-Code, please Sign In to remove ads.