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IVUS LAD and left main, post stenting of the LAD

Date: Jul 25, 2022

Question:

LAD 100% thrombotic occlusion in the junction of the proximal to mid vessel. Left Main mild stenosis with no thrombus

POBA with thrombectomy "I quickly inserted a 3.75 EBU catheter and cannulate left main. Angiograms were taken. I traversed the stenosis with a run through wire and it immediately restored flow to TIMI II level. I then inserted a 2.5 balloon and did inflations of the proximal vessel which restored flow to a normal level. There was still residual thrombus in mid vessel. I performed an export thrombectomy. I then post dilated aggressively with 2.5 balloon and 3.0 balloons. I then performed an IVUS of mid to proximal LAD and left main. This showed nice stent apposition and expansion." 

I'm coding 92978-LD, but not sure if I can bill for the LM. Would this be considered a pullback? In the CATH Lab procedure log shows IVUS performed left coronary artery to left main.

Question ID : 17552
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