Ruth Posted Wed 23rd of January, 2013 13:23:03 PM
If a patient is being treated for an AMI and two vessels are treated both the LAD and RCA and they could not determine which one was the culprit lesion would it be appropriate to code 92941 twice one for the LAD and one for the RCA.
SuperCoder Answered Thu 24th of January, 2013 16:37:00 PM
The code definition states “revascularization of acute total/subtotal occlusion during acute myocardial infarction.” If documentation shows both vessels have either total or subtotal occlusion, you may be able to support reporting 92941 twice. Proper reporting of multiple vessels during AMI appears to be an area of debate for this new code, with many experts saying report 92941 twice and others pointing to the instruction with 92941 that states “For additional vessels treated, see 92920-92938, 92943, 92944.” For an authoritative answer, it would be best to check with the payer.