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Please note this question was answered in 2010. The coding advice may or may not be outdated.

Second coronary stent on day 2

Date: Nov 19, 2010

Question:

Hello Dr Z, Thank you for your quick response last time. I have another interesting question. Pt comes in for Left Heart Cath and has DES to mid LAD only 92980. The Dr dictates the diagonal with 80 to 90% stenosis. However he decides not to intervine "Plan: The patient will be given Effient 60 mg in the cath lab, continue 10 mg a day. HE IS NOT TOLERANT TO ASPIRIN, we will therefore place him on dipyridamole as well. We will consider percutaneous intervention to the diagonal at a separate setting depending on how he responds, etc. and this could be done as soon as tomorrow if required." The pt. was brought back the very next day and had a DES to the diagonal. Can I charge for another DES to the LAD 92980? Thanks

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