Cardiology Question for the Week of November 21, 2022
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?
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?
Can you explain more details on what is required in regard to documentation for duplex studies?
What modifier is needed when completing diagnostic cardiac catheterization when performed in conjunction with a coronary intervention?
What are some of the guidelines for reporting 93572?
Do you have more insight into how we would code for arterial mechanical thrombectomy?
CPT® copyright 2025 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.
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 1 with code CYBER25
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24Â