Wiki CORONARY CATH LAB INTERVENTION CODING QUESTIONS

Please advise; these are the notes:




The diagnosis provided is Inferior STEMI.
These are the procedure codes that the doctor provided:
93458-26, 59
99152
92941-PLV
92928-RC

I'm not very experienced at coding... It is my understanding that the available anatomical modifiers for coronary arteries & branches are LM, LD, LC, RC & RI. He provided PLV (posterior left ventricular) as the modifier for procedure code 92941. Is the anatomical modifier for that procedure code supposed to be RC? Also, something doesn't seem right about coding both 92928 & 92941.

Please help!

Mitzi

If you're coding for the doctor, you are correct except for the modifier PLV. It has to be RC.
HTH,
Jim

Jim Pawloski said:

If you're coding for the doctor, you are correct except for the modifier PLV. It has to be RC.
HTH,
Jim

Click to expand...

Thanks for your reply, Jim. Yes, these codes are for professional services and the doctor is the one who provides the codes. I'm really just a biller for the doctor, but of course, it sure does help to understand coding in order to bill correctly.
Billing for both 92941-RC and 92928-RC just seems weird to me... neither one of those codes is an add-on code. Where am I getting tripped up on this?

Mitzi

Since the patient was having an MI, 92941 is for that. The second stenosis was in a separate part of the right coronary, so 92928 - Stent placement, single major coronary artery OR BRANCH makes that the correct code.
HTH,
Jim

You're welcome