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Question:
An adult patient with a double aortic arch had a heart catheterization/coronary angiogram performed. Should this be reported with the congenital or noncongenital CPT® codes?
Answer:
We recommend using the non-congenital heart catheterization codes in this scenario. The CPT® book states, “Anomalous coronary arteries, patent foramen ovale, mitral valve prolapse, and bicuspid aortic valve are to be reported with 93451–93464, 93566–93568.” If anomalous coronary arteries are not reported with the congenital codes, we don’t think that an anomalous arch would be either.
CPT® copyright 2021 American Medical Association (AMA). All rights reserved.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
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