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TAVR with coronary angioplasty

Date: Jun 6, 2023

Question:

Would it be appropriate to code 92920 with TAVR? Patient has a patent LM/LC stent protruding into aortic root.

"Via the right femoral artery, a 6F XB 3.5 guide catheter was advanced to the aortic root and BMW Universal 2 coronary guidewire was used to wire the LM stent into the distal LCx artery. A 3.5 x 20mm non-compliant balloon was then prepositioned into the LM/LCx artery stent. The aortic valve was crossed using a 6F AL-1 catheter. An Amplatz Extra Stiff wire with a broad distal curve was positioned in the left ventricle. A 23 mm Edwards Sapien 3 Ultra valve and Commander deployment system were prepared and inserted into the introducer sheath; final assembly was performed in the descending aorta; and the valve was advanced to the aortic annulus. After confirmation of valve positioning, the NC balloon was partially withdrawn with the proximal segment protruding into the aortic root and inflated to 18 ATM. The valve was then deployed in the aortic valve annulus under rapid ventricular pacing at 180 bpm."

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