Cardiology

We are confused about the coding for 78451 and 78452. Can you tell us what is the difference between single study myocardial perfusion SPECT (78451) and multiple studies SPECT (78452)? We have experienced problems when reporting 78451 twice.

I am still confused about the changes to the cardiac positron emission tomography (PET) codes made in 2020. Can you help me understand them better?

In the instance when more than one site in the same vessel is treated with percutaneous transluminal coronary thrombectomy (92973), is it appropriate to report for each site treated?

As a follow-up to last week’s question, should biventricular lead insertion into the coronary sinus be unsuccessful, what modifier would we use for coding 33224 and 33225 when reporting hospital outpatient claims?

If biventricular lead insertion into the coronary sinus is unsuccessful, what modifier would we use for coding 33224 and 33225 when reporting physician claims?

Code 92941 is for the treatment of a total or subtotal occlusion during an acute myocardial infarction. Is there a definition of what qualifies as a “subtotal” occlusion?

Myocardial perfusion scan code 78452 includes multiple studies. Does this have to be rest and stress? What about prone studies?

Does code 78434 require pre-authorization?

How do we bill echocardiogram with intravenous Lumason® contrast in the office?

Is there a specific CPT® code for myocardial perfusion SPECT/CT scan?

Code 92941 is for the treatment of a total or subtotal occlusion during an acute myocardial infarction. Is there a definition of what qualifies as a “subtotal” occlusion?

Can we assign 93451 when also submitting code 33289?