Cardiology Question for the Week of December 31, 2018
What is the intent of code 93463?
What is the intent of code 93463?
What is the Medicare policy related to payment for a cardiac device that the manufacturer supplies at no cost or reduced cost?
My provider performed a PTCA in the left circumflex artery and then stented the OMB 1, OMB2 and OMB3 branches. Would CPT codes 92920-LC (PTCA of the LCX), 92928-LC (Stent in OMB 1) and 92929 (Stent in OMB2) be the correct codes to report for this case?
When deploying bilateral renal stents, do we assign code 37236-50 or codes 37236 and 37237?
Can you please advise when we are to use 76827? This seems to be a stand-alone code by definition but some feel it’s an add-on code to 76825.
For iFR readings that do not go on to FFR, do you need to add modifier 52 to the charge code 93571 and/or 93572?
Could you inform me as to the status of Medicare reimbursement for the ultrasound contrast agent Lumason. Although we use this for echocardiography, we would like to know if we can receive payment just for it alone.
When the patient is scheduled for a right ventricular lead insertion on her pacemaker, is CPT® code 33216 the only code for which I would need authorization? The diagnosis is right ventricular lead failure.
We have a new vascular surgeon asking us to perform ankle/brachial indices (ABI) plus arterial Doppler of both lower extremities, then have the patient walk on the treadmill and rescan the patient after walking. Is there a code for this?
If we perform a Duplex scan of the renal vasculature and a Duplex scan of the abdomen assessing the mesenteric vasculature, would we assign CPT® code 93975 with one unit or assign 93976 twice with two units?
Our doctor performed selective catheterization and angiography of the external carotid artery to look for the cause of epistaxis. He did not perform a common carotid or internal carotid angiogram. Code 36227 is an add-on code that requires a primary code. What code(s) would be reported when a primary procedure is not performed?
I have a provider who saw a patient with an E/M but also did an isuprel challenge, 93623. Since that is an add-on code, is there anything we can bill for this service? Should I use an unlisted code?
CPT® copyright 2023 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.
Subscribe to receive our News, Insights, and Compliance Question of the Week delivered right to your inbox.
Address: 5874 Blackshire Path, #13, Inver Grove Heights, MN 55076
Phone: (800) 252-1578
Email: support@medlearnmedia.com
Hours: 9am – 5pm CT
Happy World Health Day! Our exclusive webcast, ‘2024 SDoH Update: Navigating Coding and Screening Assessment,’ is just $99 for a limited time! Use code WorldHealth24 at checkout.