Question

PROCEDURE PERFORMED: Percutaneous transluminal coronary angioplasty/stenting of the left circumflex, left circumflex

marginal, and LAD, with angioplasty of the RCA.

INDICATION: Culprit circumflex occlusion with this patient having severe disease in the other vessels as mentioned. See the

present records for further details on this patient with an acute inferior-wall MI 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 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 /stenting. The circumflex marginal has been reduced from 95% to

0% luminal residual post PTCA/stenting. 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.

Need ICD 10, CPT, HCPCS

Answer 1

ICD 10 PCS CODE shows 02703ZZ. The CPT code is 93460.

The codes diagnostic left/ right cath. 93460 - 59, 36252, 92933 - LD, 92929 - LD, 92928 - 59-LC. And also the codes of C9600 - C9608.