Compliance Question of the Week – Cardiology

What is the purpose behind codes +93571 and +93572?

Under what conditions should we not report 93566? Are there specific codes that cannot be reported with it?

How would you code for the following in a hospital setting? An interventional cardiologist places three drug-eluting stents, one in the left circumflex and another in the obtuse marginal branch. A third DES stent is deployed within the left anterior descending coronary artery.

An interventional cardiologist performs a PTCA in the LAD, an atherectomy in the RCA, and places a drug-eluting stent in the left circumflex artery (LC). How would we code for this in a physician setting?

An interventional cardiologist deploys a bare metal stent within the LAD and performs angioplasty within both the LC coronary artery and the RCA. What codes do we report for a hospital setting?

An interventional cardiologist performs a PTCA in the LAD followed by drug-eluting stent placement in the same vessel; subsequently, the physician next performs a PTCA in the RCA. How would we code for this scenario?

Can code 78802 be reported when performing imaging using bone agents for inflammatory disease?

An interventional cardiologist performs a PTCA in the LAD artery. The physician also performed angioplasty in the diagonal side branch of the patient’s LAD at the same session. How would we bill this in a hospital setting?

What are the circumstances that will meet the requirements for assigning 93458?

When both tibial/peroneal arteries in both legs are treated for lower extremity revascularization, what modifiers would we report?

Can you provide more clarity for 37215?

As a follow-up to last week’s question, if an embolic protection device cannot be used, which code do we report between the two?