Compliance Question of the Week – Cardiology

If non-selective renal angiography is performed at the time of a diagnostic cardiac catheterization, should level ll HCPCS code 75625 be reported?

How is the following scenario coded? A patient has an 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 and bare metal stenting.

In 2024, what are the appropriate codes for mechanochemical ablation (MOCA) procedures performed under local anesthesia? Describe the process involved in these procedures and the key components of the treatment.

How should codes 37765 and 37766 be assigned based on the number of stab incisions made in a single extremity? What is the appropriate coding approach if fewer than 10 stab incisions are made?

What are the primary codes for reporting the first vein treated by RFA and laser ablation in 2024, and how should they be coded if bilateral veins are treated?

For 93503, in 2024, do we need to report modifier -26 for a Swan-Ganz insertion?

What code would we report if the physician does not give LV angiographic data but true diagnostic selective coronary angiography is performed?

We had an interventional cardiologist perform a percutaneous left heart catheterization, then selective injections of the left ventricle and coronary arteries for diagnostic purposes. This was followed by mechanical thrombectomy of the LAD artery with subsequent drug-eluting stent placement in the LAD. How would we code this?

For 2024, how should the utilization of intravascular lithotripsy outside of the coronary arteries be reported, and what specific coding ranges apply for facility and professional fee coding when it comes to its use in the lower extremities?