Compliance Question of the Week – Cardiology

Myocardial perfusion scan code 78452 includes multiple studies. Does this have to be rest and stress? What about prone studies?

Does code 78434 require pre-authorization?

How do we bill echocardiogram with intravenous Lumason® contrast in the office?

Is there a specific CPT® code for myocardial perfusion SPECT/CT scan?

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?

Can we assign 93451 when also submitting code 33289?

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

For hospital billing, does G0278 have reimbursement or an assigned APC?

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?

What verbiage do I need to see in echocardiogram reports to report 93320/93321 and 93325?

How is the following scenario coded? A patient undergoes angioplasty and bare-metal stenting of a distal LC lesion through a vein graft followed by the placement of a separate drug-eluting stent in the proximal native vessel via a separate access.

How is the following scenario coded? A patient undergoes angioplasty and bare-metal stenting of a distal LC lesion through a vein graft followed by the placement of a separate drug-eluting stent in the proximal native vessel via a separate access.