Compliance Question of the Week – Cardiology

Can you explain what new code 93319 is used for?

How many times may code 92941 be reported? We treated three vessels during a myocardial infarction (MI).

How would we code the following situation: An interventional cardiologist deploys a drug-eluting stent in the LAD and performs PTCA of the RCA?

When should 37236 not be reported?

Can color-flow Doppler mapping be performed in addition to fetal echocardiography?

Can we use 92973 to report a service that aspirates thrombus using a catheter such as Diver even if mechanical fragmentation is not involved?

We are confused about the coding for 78451 and 78452. Can you tell us what is the difference between single study myocardial perfusion SPECT (78451) and multiple studies SPECT (78452)? We have experienced problems when reporting 78451 twice.

I am still confused about the changes to the cardiac positron emission tomography (PET) codes made in 2020. Can you help me understand them better?

In the instance when more than one site in the same vessel is treated with percutaneous transluminal coronary thrombectomy (92973), is it appropriate to report for each site treated?

As a follow-up to last week’s question, should biventricular lead insertion into the coronary sinus be unsuccessful, what modifier would we use for coding 33224 and 33225 when reporting hospital outpatient claims?

If biventricular lead insertion into the coronary sinus is unsuccessful, what modifier would we use for coding 33224 and 33225 when reporting physician claims?

Code 92941 is for the treatment of a total or subtotal occlusion during an acute myocardial infarction. Is there a definition of what qualifies as a “subtotal” occlusion?