CTO unable to completely cross

May 18, 2017

Question:

I have a case in which the physician was able to cross the chronic total occlusion of the distal RCA stents with a wire, but was unable to fully cross the lesion with the balloon. He inflated the balloon in the proximal portion of the occluded stent, but was unable to advance devices any farther. It appears the previous stent was under-expanded, preventing the device from crossing. Laser atherectomy was also performed. Can I code for the CTO with a modifier since it was the intended procedure and numerous attempts were made?

Question ID: 9309
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