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Branch Interventions

Date: Oct 3, 2014

Question:

How would you code this scenario? PTCA in the diagonal for chronic total occlusion and PTCA with drug-eluting stent to the mid LAD (no total occlusion). I want to report code 92943 for the CTO and 92929 for the drug-eluting stent; however, code 92929 states in the descriptor that it is for a branch of the major coronary artery, not the major coronary artery itself. So then it is code 92928 for the major coronary artery and 92944 for the CTO... but that is also not coding by the guidelines since it states you code by the hierarchy of services based on the intensity of the service.  Thoughts?

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