Cardiology Question for the Week of September 30, 2024
Bryan Nordley
September 30, 2024
When can 90316 and 93018 be billed separately?
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When can 90316 and 93018 be billed separately?
What additional procedure may be performed along with a basic 2D echocardiogram of the fetal heart, and how is it coded when medically necessary and documented in the patient record?
Is a signed physician’s order required for each supply when used in the operating room, procedure room, or cardiac catheterization?
A patient comes in through ED as STEMI. Straight to CCL, LAD is the culprit vessel. DES placed, C9606. After LAD is stented and flow restored, an ostial diagonal lesion is found resulting in DES to the diagonal. The question is: Is the diagonal DES coded as C9601- DES Additional Vessel, since it was treated in the same manner as the STEMI LAD? Or is it coded C9600 because even though DES, it was not a STEMI vessel like the primary vessel C9606?
When do we assign code 0631T?
Do we use 0493T to report transcutaneous oxyhemoglobin measurement of a lower extremity wound by near-infrared spectroscopy in 2024?
For noninvasive physiologic studies when both upper and the lower extremity arteries are studied, what codes do we report?
The patient presents for a diagnostic left heart catheterization (LHC), left ventriculogram, and selective coronary angiography. The physician determines that hemodynamic assessment should be performed before and after exercise to assist in the clinical diagnosis. The patient is given a pair of 2.5-pound dumbbell weights and then asked to exercise by extending the arms and bringing the arms with the weights to their chest. The patient exercises for three to five minutes. Does this type of exercise meet the criteria for billing code 93464?
When do we assign code 36221?
Which codes do we report for the stenting within each branch of a major coronary artery?
Can we report 93922 for an ABI as a stand-alone procedure?
How is IABP performed?
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