Compliance Question of the Week – Cardiology

Can you please explain the use and application of codes 93303 and 93304 for transthoracic echocardiography, including the imaging techniques involved and typical clinical scenarios where these codes are reported?

Besides a basic 2D echocardiogram of the fetal heart with Doppler pulsed wave, what additional procedure may be performed and assigned code 93325?

Can we report 93970 when performing ablation services of varicose veins in the same surgical field utilizing mechanochemical (MOCA) ablation?

How does the Shockwave Coronary IVL catheter work to treat lesions in diseased coronary vessels?

What is the correct code for percutaneous transluminal coronary lithotripsy, and how should it be reported in conjunction with the primary procedure?

A physician performs a medically necessary pulmonary artery angiogram in conjunction with a non-congenital heart catheterization service before pulmonary artery stenting. Which code(s) should be reported for the angiogram?

For coding a coronary intravascular lithotripsy (IVL) procedure performed in an outpatient hospital setting, which HCPCS Level II supply code should be reported to ensure eligibility for the OPPS transitional pass-through payment, and how long is this payment expected to be available

A cardiologist performs a medically necessary pulmonary artery angiogram in conjunction with a non-congenital heart catheterization procedure. This angiogram is conducted prior to the placement of a pulmonary artery stent. Which add-on code(s) should be reported to accurately capture this service?

How should providers document the use of the 2024 add-on code for Coronary Shockwave Lithotripsy to address payer denials citing “lack of medical necessity” or insufficient documentation, and how can they demonstrate that the procedure is not incidental but a medically necessary addition to PCI?