Here is your ZHealth Coding Newsletter for January 2013

Q & A with Dr. David Zielske

Question     Regarding the 2013 Percutaneous Coronary Intervention codes - I have been told that you can only report the code for revascularization of an acute myocardial infarction (AMI) (92941 for example) a single time per episode. I do not think this is correct. If the patient has an AMI and 2 or more major arteries are involved (need stenting), would you not code the AMI CPT code twice: 92941-LD, 92941-RC? To me, the wording in CPT "Single major artery or branch" is that it can only be coded a single time in that vessel but could be used multiple times if AMI involves separate vessels. Thank you for guidance on this.

Answer     The code for revascularization of an AMI (92941) is reported for treatment of the culprit lesion. If a stent is also placed in a stenosis in a branch of that vessel, code 92929 is added. If a stent is placed in another vessel…which is uncommon at the same setting…you can code that intervention as well (e.g., 92928 for the other vessel with a vessel modifier). If a DES is placed during the acute MI, hospitals use code C9606 instead of 92941.

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February 19-22, 2013

Covering the extensive 2013 CPT code changes and all other codes that impact Interventional Radiology, Interventional Cardiology, and Endovascular Surgery.

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