Compliance Question of the Week – Cardiology

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? 

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?