Please note this question was answered in 2021. The coding advice may or may not be outdated.
Subclavian stent
Date: Sep 29, 2021
Question:
What CPT code would you use for a subclavian in-stent restenosis requiring a stenting procedure? The physician documentation states the stenosis is threatening the LIMA and causing the patient to have angina symptoms. This is currently being denied based on the LCD that is looking for a PAD with symptoms code in order for this to be payable. The patient doesn't have arm symptoms of the upper extremity, so a diagnosis code of T82856A and I25119. Any suggestions? We appealed with the procedure note documentation and again received a denial.
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