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33572 used for PDA, PL1 and diagonal branches

Date: Mar 21, 2024

Question:

Per the CPT Codebook, Code 33572 (coronary endarterectomy) can only be used for LAD, circumflex, or RCA. The provider stated, "The PDA and PL1 are the only major branches of the RCA, and so these qualify as part of the RCA, and the diagonal is the major branch of the LAD and is part of the LAD distribution. As such, endarterectomy of this vessel qualifies as part of  the LAD". Endarterectomy of other coronary arteries is not reported separately per Encoder. Please advise.

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