Compliance Question of the Week – Cardiology

We are getting conflicting information on split-shared evaluation and management (E & M) visits in the hospital. The Medicare information I have found says that a consult code cannot be split-shared. But our question is this: If the patient has Medicare and we cannot bill the consult code, can that visit be split-shared if the intent was a consult?

What codes should be assigned for the ECG provided during Medicare’s initial preventive physical examination (IPPE)?

In echocardiogram interpretations, I see “LV diastolic dysfunction (pseudonormal filling)” frequently and need some advice as to what would be the correct ICD-10 code.

The 2018 ICD-10 code book takes me to the entries below:
Dysfunction – Heart: I51.89 (other ill-defined heart diseases) or Dysfunction – Ventricular: I51.9 (heart disease, unspecified)
Left: reversible following … I51.81 (Takotsubo syndrome)

A Google search for “pseudonormal filling” give me I50.30—unspecified diastolic (congestive) heart failure, but there is no choice for this in the code book.

For Medicare hospital billing, if a planned PTCA is attempted but the balloon cannot be advanced across the lesion, can we bill for the attempted angioplasty?

What code should be assigned when a battery is replaced for a pacemaker?

Is the coding of a diagnostic cardiac catheterization different based on the access into the body (for example: radial versus femoral artery)?

What codes can be assigned for extremity arterial non-imaging Doppler studies?

When is 92961 used? If a patient with an implantable cardiac defibrillator (ICD) is cardioverted for atrial fib, is this the appropriate code to use?

When the AICD pulse generator (battery) is replaced due to ERI (elective replacement interval). Which ICD-10 code would be correct, T82.111A or Z45.02?

We had a patient who presented with an uncontrollable nosebleed, and the physician performed angiography of the external carotid arteries. What code would be assigned?

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

How is the following scenario coded? A patient has a SVG anastomosed to the LC obtuse marginal (OM). Next, this graft “jumps” to the RC posterolateral branch. Through the vein graft, the OM lesion is treated with angioplasty and bare metal stenting and a second lesion in the posterolateral branch of the RC is treated with angioplasty.