For the Week of November 23, 2015

If a cardiologist documents acute myocardial infarction (AMI) in the history, and a stent was placed into the left main artery, can we report the code below? 

92941   Percutaneous transluminal revascularization of acute total/subtotal occlusion during AMI, coronary artery or coronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel

No. The report should document that the patient has an AMI and that the intervention was done on an urgent basis. Without that information, the coder would not know if this was an emergent intervention or if the patient was stabilized with the intervention being performed at a different time.