Cardiology

Can we report 93461 with 0408T?

Can I report 33274 with 93453?

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 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?

Can you report radiologic examination codes 71045 and 71046 with 93503?

I just have a quick question on which charge is sent for a pediatric transthoracic echocardiogram complete. This would be on a newborn of 21 days. Some articles say the first echo is 93306, then if dx with a congenital anomaly, then follow-ups are 93303. What is your guidance?

Can codes 93563 and 93564 be reported with code 33418?

Today we are implanting a BiVentricular Pacemaker (PPM). We attempted a Coronary Sinus (CS) lead, however, it would not work, and they had to use a different CS lead. Is the patient charged for both leads?

When evaluating for sarcoidosis we perform both a perfusion PET scan and a metabolic evaluation. Can I report both 78491 and 78459?

If instead, selective renal angiography is performed, can I submit selective catheterization codes (i.e., 36245) plus the supervision and interpretation (i.e., S&I) code for this procedure plus the cardiac cath code(s)?

Do you have any tips for reporting the pacemaker replacement of a pulse generator with one or more right-sided leads that are also inserted? We are confused about the proper code selection.

Can you report fluoroscopic guidance and ultrasonic guidance separately for electrophysiology studies?