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Pci RCA lesion

Date: May 16, 2023

Question:

Provider states that the pre-interventional distal flow is decreased(TIMI 1). Interventional guide catheter was used to successfully engage the vessel. A straight tip pilot 50 was used to cross the lesion. A guidingguidezilla II 7FR guide liner catheter used for additional support. Angioplasty was don with sapphire ballon 1.0x8. multiple infations were performed. maxumum pressure: 20 atm. inflation time: 11 sec. The pos-interventional distal flow is decreased(TIMI 1). He then states that the RCA is 100% stenosed CTO. and was unable to cross the proximal RCA. He did a LHC and coronary angiogram. My question i coded it with 92943-RC and 93458-26-59.My clinic staff are wanting me to amend it with 53 for the professional and 74 for the hospital. My understanding is because he crossed the lesion with the wire it does not need the 53/74.

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