Cardiology

For Medicare hospital billing, if a planned PTCA is attempted but the balloon cannot be advanced across the lesion, can we bill for the attempted angioplasty?

A diagnostic cardiac catheterization is performed demonstrating two-vessel coronary disease. Due to contrast load, the procedure is staged. A lesion in the LAD is treated by a DES at the initial session and the right coronary lesion is treated at a separate encounter. Can the injection of the coronary arteries during the second encounter be coded and billed with
code 93454 (coronary angiography only)?

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

If instead, selective renal angiography is performed, can I submit 36251–36254 as appropriate in addition to a cardiac catheterization procedure?

For transcatheter therapy coding, can angioplasty and stent changes be submitted per vessel treated? Do you have any other guidance?

Is follow-up angiography separately billed when performed with intracranial embolization? Do you have any other tips for reporting 75898 or 61624?

Is completion or follow-up angiography (CPT 75898) separately billable for atherectomy?

Do you know if we are able to report codes 36215–36218 to define catheter placement when performing angioplasty?