Question

VESSEIS). CASE 6-10E PTCA/Stenting Report Use appropriate HCPCS modifiers to indicate stenting locations. LOCATION: Inpatient, Hospital PATIENT: Kenneth Peters SURGEON: Marvin Elhart, MD PROCEDURE PERFORMED: Percutaneous transluminal coronary angioplasty stenting of the left circumflex, and LAD (left anterior descending coronary artery), with angioplasty of the RCA (right coronary artery). INDICATION: Culprit circumflex occlusion with this patient having severe disease in these other vessels as mentioned. See the present records for further details on this patient with an acute inferior wall Ml and arteriosclerosis of the coronary artery. PROCEDURE NOTE: Please refer to the procedure log in the enclosed cardiac catheterization log sheet. This procedure is done through the modified Seldinger technique via the right femoral approach without any complications. At the end of the procedure, the right femoral arterial sheath was left in place and the patient was brought to the ICU intensive care unit) for monitoring purposes. He suffered no complications from this procedure. Note that ReoPro was given during this procedure per the ReoPro protocol. Results are as follows. A. PREANGIOPLASTY ANGIOGRAPHY of the right and left coronary systems is well described in the earlier cath report. See that earlier cath report for details. B. POSTANGIOPLASTY AND STENTING ANGIOGRAPHY of the left coronary system shows the former 75% mid-LAD lesion has been reduced to 9% luminal residual post-PTCA percutaneous transluminal coronary angioplastystenting. The former 100% stump-occluded circumflex itself has been reduced to 0% luminal residual post PTCA/stenting. The remainder of the left coronary system is otherwise unchanged compared with prior to angioplasty and stenting. The LAD still has a residual midportion 50% lesion that I left alone at this time The RCA system, which was nondominant and small in caliber, had the former 95% diffuse proximal and midportion disease angioplastied Successfully to 20% to 30% smooth luminal residual post PTCA Note that there was good TIMI grade 3 filling seen into the entire right and left coronary systems postprocedure. The patient was free of chest pain after the procedure CONCLUSION: Successful multivessel angioplasty and stenting. with angioplasty and stenting done of an occluded circumflex as well as angioplasty and stenting done of the diseased LAD and circumflex marginal and angioplasty of the RCA. This multivessel angioplasty and stenting procedure was highly successful. The patient was brought to the ICU for monitoring purposes, chest pain-free, after the procedure. SERVICE CODES) ICD-10-CM DX CODES):
how would i code for this?

Answer 1

Service code for percutaneous transluminal coronary angioplasty is 92928, HCPCS level ll

ICD-10-CM code for culprit circumflex occlusion is I21.21