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Bridging Coronary Single Stent

Date: Mar 21, 2013

Question:

Could you please clarify, would this be considered a bridging lesion? And would just one intervention be coded?

"DESCRIPTION OF PROCEDURE: 5 French EBU 4.0 was engaged to the left coronary and Runthrough wire was passed distally in the left circumflex OMB 3. Heparin and Integrilin were given for anticoagulation. ACT checked and therapeutic during procedure. A 3.0 x 10-mm AngioSculpt was taken at 8 atmospheres twice and exchanged for a 3.5 x 18-mm Integrity at 12 atmospheres. There was TIMI-2 flow before procedure, TIMI-3 flow after, no dissection or residual stenosis within the stented area. FINDINGS: PERCUTANEOUS CORONARY INTERVENTION TO THE LEFT CIRCUMFLEX AND OBTUSE MARGINAL BRANCH 3: EBU 4.0, 3.5 x 18-mm Integrity at 12 atmospheres. TIMI-2 flow pre and TIMI-3 flow post, no dissection, no residual stenosis within the stented area, 10-mm lesion length."

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