Compliance Question of the Week – Cardiology

Can mitral valvuloplasty (92987) be billed with the transseptal puncture code (93462)?

92987 Percutaneous balloon valvuloplasty; mitral valve
+93462 Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure)

I am looking for the correct codes to assign when our provider documents that bilateral selective carotid artery angiogram and intracerebral artery angiogram were performed followed by selective left subclavian artery and left vertebral artery angiogram. Would the correct coding be CPT® 36223-50 and 36226-LT? Or would it be 36223-50 and 36225-LT?

Can you please provide information about Medicare billing for cardiac device replacement claims?

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.

When using intravenous ultrasound (IVUS) for sequential lesions in the distal left main (LM) and proximal left anterior descending (LAD), intervention consisted of single stent. Is IVUS billed as initial 92978, or is it initial 92978 and additional 92979?

Can we bill the following injection codes for drug administration during a cardiac catheterization procedure?

96373 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intra-arterial
96374 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug

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?

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

If a patient is brought to the cardiac cath lab and only bypass grafts were visualized (for example, SVG [saphenous vein graft] to the right coronary artery [RCA], and SVG to the circumflex) with no native coronary arteries being injected or imaged, what is the appropriate CPT procedure to code/charge?

For Medicare claims, what condition codes should hospitals report for device-replacement procedures that occur from a recall or premature failure (whether the device is provided at no cost or with a credit)?

Can we charge for two kissing balloons when one is for a lesion and one is for protection of a stent but no lesion? The internal iliac had a lesion, and the external iliac had a stent that needed protection. Would the codes be 37220 and 37222?

If a temporary pacemaker lead is inserted during a diagnostic heart cath, is it appropriate to charge for this lead placement if the patient does not leave the procedure room with it (the pacemaker lead)?