Cardiology Question for the Week of May 30, 2022

Question:

Can you tell me more about what is included in 0643T?

Answer:

0643T describes a transcatheter left ventricular restoration (LVR) device implantation using an arterial approach and includes the following:

• All access and closures
• Left heart catheterization if catheterized for the procedure
• Right heart catheterization if performed for hemodynamics during the procedure
• Angiograms and RS&I
• Fluoroscopy
• Ventriculography
• Completion angiography
• Note if a true diagnostic coronary angiogram was performed unrelated to the restoration and all requirements are met, code the diagnostic angiogram separately with modifier 59.
• If coronary interventions are performed, report separately
• Other interventions unrelated to the restoration may be reported separately
• Report cardiopulmonary bypass separately
• VAD / Balloon pump insertion may be reported separately
• For transcatheter mitral valve annulus reconstruction with implantation of an adjustable annulus reconstruction device from a venous approach necessitating transseptal puncture, use 0544T.

This question was answered in our annual Cardiology Reimbursement & Compliance Update webcast. For more hot topics relating to cardiology services, please visit our store or call us at 1.800.252.1578, ext. 2.