A patient undergoes an initial insertion of a dual-chamber pacemaker system. An RA lead is implanted. In the RV, 2 leads are implanted – 1 at the apex and 1 at the His bundle. Would this be coded with 33208 only, since the code description contains the word “electrode(s)”? Or, can 33999 be added to 33208 to represent the extra lead/extra work involved?
Is 76377 included in 75561-are there specific circumstances that allow this to be charged and modified? We are using 3D rendering on an independent workstation for post-processing.
In the example of the EKG with an EP study, do you agree that we should report the 93005 but not modify it with modifier 59? Do other hospitals override the edit instead of using the GZ? If the entire claim is denied due to the GZ modifier being on the claim, what action should we take? Should we reach out to our FI?
Should the date of service (DOS) of the FFR derived from a CTA be the same as the DOS of the coronary CTA?
If the hospital receives outside images (consult) of the CTA and derives the FFR from that CTA, can the hospital bill for the FFR service?
If a tracing is performed when the physician does not own the equipment or employ the personnel while providing just the interpretation, what code is assigned for the professional service?
What diagnosis code(s) should we use for an echocardiogram performed with contrast?
Can we bill for an angiogram and catheter placement for a failed access site done during a Left Heart Catheterization (LHC)? For example, the right radial artery (RRA) access was obtained but we could not navigate the wire to the right subclavian. Right brachial artery angiography was performed through the diagnostic catheter. There was moderate tortuosity and the vessel size was small, and a decision was made to pursue a right femoral artery access. Could we bill 36140-59 and 75710-59 with LHC 93458?
When an EKG is ordered and read during the office visit, does that count as two points for the new Evaluation and Management (E/M) coding?
Can code 93565 be reported for diagnostic selective left atrial with Category III codes?
Please explain the difference between single study myocardial perfusion SPECT (78451) and multiple studies SPECT (78452).
If a coronary angioplasty (PTCA) is done, then a drug-eluting stent (DES) is attempted, but unable to cross lesion do you code this as C9600-74?
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