Please note this question was answered in 2014. The coding advice may or may not be outdated.
Discontinued Procedure, PCI of CTO
Date: Feb 19, 2014
Question:
When a patient is in for a planned staged intervention on a chronic total occlusion, and the physician is unable to cross with a wire after a prolonged attempt, do you recommend coding 92943-74 or 92920-74? The reason I’m asking is in the past you’ve recommended using the lowest level intervention when it’s aborted for this reason. The code for a chronic total occlusion is weighted much higher for the facility, the same as a stent or atherectomy. Should we use the lower weighted intervention code for an angioplasty instead?
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