Please note this question was answered in 2014. The coding advice may or may not be outdated.
PCI of Bypass Graft and Native Coronary Arteries
Date: Feb 19, 2014
Question:
Our physician did a diagnostic left heart catheterization with left ventriculography, coronary artery angios, and bypass graft angios. He then did an angioplasty at the anastomosis of the LIMA graft to the distal LAD. Following this, he placed a drug eluting stent in the circumflex artery and performed a kissing balloon angioplasty of the proximal circumflex and the proximal LAD. I am thinking of reporting codes C9600-LC, 92937-LD, and 93459-59. Could I also report code 92921-LD for the proximal LAD kissing balloon angioplasty since it was via the native arteries and not through the bypass graft?
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