A patient presents for treatment of coronary artery stenosis. Following percutaneous transluminal coronary angioplasty (PTCA) to the proximal and mid circumflex artery, both lesions were covered with a single 60 mm high dose brachytherapy. What is the ICD-10-PCS code assignment for coronary artery brachytherapy?
02703ZZ Dilation of coronary artery, one artery, percutaneous approach, for the PTCA, and
3E073GC Introduction of other therapeutic substance into coronary artery, percutaneous approach, for the radiation delivered via angioplasty to open up the stenotic lesions in the circumflex artery
Intravascular brachytherapy can be performed as part of a coronary interventional procedure. Following angioplasty, a radioactive ribbon is advanced in the coronary artery to deliver a small amount of radiation to the vessel wall. Unlike brachytherapy for a malignancy where a seed or device remains after the procedure to release radiation, for coronary artery brachytherapy, the radioactive ribbon is removed after a few minutes. Therefore, it would not be appropriate to assign a device value as no device remained after the procedure.