Ask Dr. Z

Would you consider this a bridging lesion and only code as C9600-LD (hospital coding)?

"Distal LM on IVUS was an eccentric calcific plaque 60-65% extended into the ostial LAD. LAD is heavily calcified throughout the proximal to mid segment with diffuse 80% stenosis in the mid segment; proximal vessel has diffuse 50-60% stenosis. Procedure: We deployed a 3.0 x 38 mm stent from the proximal to mid LAD was post dilated with a 3.0 non-compliant balloon in the distal segment and 4.0 non-compliant balloon in the proximal segment. We performed IVUS. There was residual disease in the ostial LAD extending into the LM. We treated that with an overlapping 3.5 x 8 Xience drug-eluting stent from the ostial LAD into the distal LM."