A 55-year-old male underwent PTCA for atherosclerosis in the left anterior descending coronary artery. A stent was inserted during the procedure. What are the appropriate CPT and ICD-10-CM codes for this intervention?

A. CPT Code: 92928, ICD-10-CM Code: I25.10
B. CPT Code: 93458, ICD-10-CM Code: I25.700
C. CPT Code: 92920, ICD-10-CM Code: I25.110
D. CPT Code: 93454, ICD-10-CM Code: I25.2

The correct answer for the procedure and diagnosis of a 55-year-old male undergoing PTCA with stent insertion is CPT Code 92928 and ICD-10-CM Code I25.10.

Explanation:

The appropriate CPT and ICD-10-CM codes for a 55-year-old male who underwent PTCA with stent insertion for atherosclerosis in the left anterior descending coronary artery are:

CPT Code: 92928
ICD-10-CM Code: I25.10

Option (a) is correct because CPT code 92928 represents percutaneous transluminal coronary angioplasty (PTCA) with the insertion of a stent, and ICD-10-CM code I25.10 represents Atherosclerotic heart disease of native coronary artery without angina pectoris. These codes accurately describe the procedure and the diagnosis for the intervention.

The appropriate CPT (Current Procedural Terminology) code for this intervention is 93458 and the appropriate ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification) code is I25.2.

CPT code 93458 represents coronary angioplasty with insertion of a stent and ICD-10-CM code I25.2 represents old myocardial infarction. The procedure described in the question involves the mechanical widening of a blocked coronary artery with a balloon and the insertion of a stent, which aligns with the definition of coronary angioplasty with stent insertion.

Therefore, option d) CPT Code: 93454, ICD-10-CM Code: I25.2 is the appropriate choice for the given intervention.