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Covered stent in ruptured coronary artery after DES

Date: Sep 14, 2010

Question:

We had a case in our cath lab the other day that I had not seen before and I would like your opinion on the codes we used. The patient came in and had a left heart cath with left ventriculogram. Then the physician placed drug eluting stents in the RC and LC. During placement of the RC stent, the vessel was perforated. They placed a JoMed Graftmaster covered stent to tamponade the perforation. We coded the diagnostic cath and G0290-RC and G0291-LC for the stents. We couldn't find any code to use for the covered stent since we had already used G0290 for the RC. Are we correct on this or is there some code we are missing for the use for the covered stent? Thanks for your help.

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