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Angioplasty of septal perforator

Date: Jun 21, 2021

Question:

Our provider performed angioplasty to proximal to mid 1st septal perforator and 2nd septal perforator. Do we also code this with 92920?

"Wire placement was performed with a Runthrough NS Extra Floppy 300 cm guidewire, which was advanced through the vessel beyond the lesion. Angioplasty was performed with a RX Emerge 2.0 mm x 15 mm balloon at 4 ATM. Balloon used to block flow into LAD for possible alcohol septal ablation procedure. Injection of echo contrast through balloon shaft under TEE showed brisk contrast filling of the RV chamber as well as contrast staining of the RV side of the septum and moderator band. We decided against alcohol injection given these findings and the procedure was stopped. Final angiogram with the wire and balloon removed showed patent LAD and septal perforators without evidence of acute vessel closure, dissection or perforation."

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