Compliance Question of the Week – Cardiology

If one of my cardiology offices does a two-day SPECT study, rest on one day, and stress on another, can they bill 78452 twice?

How is the following scenario coded? A patient undergoes PTCA and bare-metal stenting of the LC OM1 via an SVG and an additional PTCA and bare metal stent of an OM2 lesion via a completely separate SVG.

Where is the catheter placed for a non-selective abdominal aortogram with bilateral lower extremity arteriograms?

What needs to be imaged for a non-selective abdominal aortogram with bilateral lower extremity arteriograms?

What are some coding tips for 75774?

If non-selective renal angiography is performed at the time of a diagnostic cardiac catheterization, should level ll HCPCS code G0275 be reported? Is this code for hospitals or physician billing? Is this code for Medicare or non-Medicare patients?

What is the intent of code 93463?

Is 93567 the appropriate code for the evaluation an aortic dissection without a cardiac catheterization?

If patient has a diagnostic heart cath with IVUS one day and then is taken back to have intracoronary stents deployed with IVUS the next day, can IVUS be coded at both sessions?

Regarding coronary intravascular ultrasound (IVUS), I understand if it is done prior to an intervention that we can bill it. It should be diagnostic, and the findings should document the vessel size and the medical necessity for performing the IVUS. Can I bill if it is done after an angioplasty to determine the size of stent that will be deployed? Our technical staff thinks that we should be charging these in addition to the stent.

We are beginning to perform echocardiograms with Lumason contrast. Does Lumason still have pass-through status? I thought pass-through status had ended, but someone told me otherwise.

When billing for the hospital, if the physician starts an atrial fibrillation ablation procedure but must abort the procedure due to the patient’s condition, do I charge for the procedure and add modifier 74? He placed the sheaths and the catheter.