Cardiology

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

Do you have any tips in regards to repositioning and code 33993?

Do you have any coding guidelines for 92941?

If we are replacing the entire device for insertion related coding procedures, are we able to report the removal of VAD?

A patient undergoes an initial insertion of a dual-chamber pacemaker system. An RA lead is implanted. In the RV, 2 leads are implanted – 1 at the apex and 1 at the His bundle. Would this be coded with 33208 only, since the code description contains the word “electrode(s)”? Or, can 33999 be added to 33208 to represent the extra lead/extra work involved?

Is 76377 included in 75561-are there specific circumstances that allow this to be charged and modified? We are using 3D rendering on an independent workstation for post-processing.

In the example of the EKG with an EP study, do you agree that we should report the 93005 but not modify it with modifier 59? Do other hospitals override the edit instead of using the GZ? If the entire claim is denied due to the GZ modifier being on the claim, what action should we take? Should we reach out to our FI?

Should the date of service (DOS) of the FFR derived from a CTA be the same as the DOS of the coronary CTA?

If the hospital receives outside images (consult) of the CTA and derives the FFR from that CTA, can the hospital bill for the FFR service?