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Left main coronary artery DES

Date: May 10, 2012

Question:

Dr. Z, Hi -- would appreciate your opinion. MD placed LEFT MAIN DES. He describes "high-grade disease in the proximal circumflex" and subsequently describes intervention (DES) "distal left main." Cath Lab reviewed the films and says, "Treated lesion(s) are continuous - the distal left main and into high proximal circ/OM branch were target lesions. MD ballooned multiple times at this site. THE STENT IS CLEARLY IN THE LEFT MAIN." MD has summarized: "LM = DES and PTCA; Left circumflex = PTCA" Would you charge/code: G0290-LC only or G0290-LD with 92984-LC? THANK YOU.
Question ID : 3765
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