Compliance Question of the Week – Cardiology

Can we assign 37765 and 37766 per stab?

When can diagnostic cardiac catheterization and coronary angiography be coded separately when performed
in conjunction with an intervention?

Is code 92973 the appropriate code for aspiration of a thrombus within a coronary vessel?

For Medicare hospital billing, if a planned PTCA is attempted but the balloon cannot be advanced across the lesion, can we bill for the attempted angioplasty?

A diagnostic cardiac catheterization is performed demonstrating two-vessel coronary disease. Due to contrast load, the procedure is staged. A lesion in the LAD is treated by a DES at the initial session and the right coronary lesion is treated at a separate encounter. Can the injection of the coronary arteries during the second encounter be coded and billed with
code 93454 (coronary angiography only)?

Is the coding of a diagnostic cardiac catheterization different based on the access into the body, for example, radial versus femoral artery?

If instead, selective renal angiography is performed, can I submit 36251–36254 as appropriate in addition to a cardiac catheterization procedure?

For transcatheter therapy coding, can angioplasty and stent changes be submitted per vessel treated? Do you have any other guidance?

Is follow-up angiography separately billed when performed with intracranial embolization? Do you have any other tips for reporting 75898 or 61624?

Is completion or follow-up angiography (CPT 75898) separately billable for atherectomy?

Do you know if we are able to report codes 36215–36218 to define catheter placement when performing angioplasty?