Ask Dr. Z

Ask Dr. Z Knowledge Base houses over 7,500 coding questions and answers dating back to 2013.

Ask Dr. Z Disclaimer

Please note this question was answered in 2022. The coding advice may or may not be outdated.

Staged intervention - IFR negative

Date: Jul 6, 2022

Question:

Patient had diagnostic and intervention. Almost a month later, she was brought back for intervention of LAD and iFR. Based on iFR decision was made not to do intervention.

Past guidance: If here for staged intervention and imaging indicates not necessary, charge a diagnostic. Does the same hold true in this situation - charge diagnostic and IFR?

"History: 58-year-old female with recent inferior STEMI s/p PCI to 99% OM2 lesion. She was also found to have moderate LAD and RCA disease and was brought back for PCI of LAD and iFR. She remains symptom-free and compliant with DAPT. Findings: Right radial artery access. Right dominant circulation. LM minimal luminal irregularities. OM stent patent with TIMI-3 flow. mLAD 60% stenosis and iFR of 0.93. pRCA 60% stenosis with iFR of 0.97. No intervention performed today. LVEDP normal."

Can a diagnostic and IFR be charged in this situation?

Question ID : 17448
Sign up for a membership to view the answer to this question.

Need to ask Dr.Z?

Don't see the answer you're looking for in the knowledge base? No problem. You can ask Dr. Z directly!
Ask Dr. Z a question now!