A diagnostic heart cath with coronary angiogram was done with a stent placement. Three hours later the patient complains of pain and returns to the cath lab for another coronary angiogram. Can we code both?
A question came from the director of our cardiovascular services (CVS) department today. When a right heart catheterization is done to aid in the placement of a CS lead, is that reported separately? Our dictation only briefly gives findings of RA and LA pressures. We also do an angiogram with the right heart cath. If it is something we can bill for, can you please advise what would need to be included in the dictation? We are not required to add a modifier on the RHC code.
Can we code 93655 in addition to 93653 when the initial arrhythmia was atrial tachycardia (AT) in right atrium but then an atrial flutter (atypical) was discovered in the left atrium? Technically, this is a different arrhythmia; however, if both were solo, would they both map to the same 93653?
If we remove a left ventricular lead from an ICD and replace it with a new one, would we report just 33224?
I’ve got a coronary intervention case with one stent placed into the diagonal via a vein graft and a second stent placed into the LAD via a LIMA graft. Would this be reported as C9604-LD x2 or C9604-LD and C9605-LD instead?
Can you provide information about when it is appropriate to use modifier 63?
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?
Can a code for ECG tracings be reported if the EKG is performed with a percutaneous coronary artery interventional procedure?
What is the intent of code 93463?Â
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?
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