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IVUS was performed with automatic pullback from LAD to Left Main

Date: Oct 11, 2023

Question:

I need your expertise on this case where the provider did IVUS with automatic pullback from LAD to LM. Per operative report "Then the Opticross IVUS catheter was advanced over the wire and IVUS was performed with 66.0 mm automatic pullback at 1 mm/sec from mid LAD to distal LM.

Left main: very large and short segment, no significant CAV observed.

Proximal LAD: Eccentric I.T> 0.81 mm located proximal to D1 branch (MLA 12.07 mm2, lumen 3.58 x 4.28mm, EEL 4.66 x 5.15.mm).

Proximal mid LAD: Focal spot of plaque-like I.T> 1.10 mm located between D1 and D2 branches (MLA 6.97 mm2, lumen 2.75 x 3.31mm, EEL 3.36 x 4.27mm.).

Mid LAD: Eccentric I.T> 0.45 mm located distal to D2 branch (MLA 7.67 mm2, lumen 2.73 x 3.59 mm, EEL 3.29 x 4.04mm).

Do we code for 92978, 92979 in this case since there is a measurement indicated in the both LAD and LM? Or just code only 92978 since this is an automatic pullback?

Question ID : 19416
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