Cardiology Question for the Week of December 21, 2020
Can we report 33222 with complex repair codes from the Integumentary System?
Can we report 33222 with complex repair codes from the Integumentary System?
If our doctor interprets an echocardiogram performed at the hospital, do we add modifier 26 to the echo code?
We perform cardiac PET scanning at our facility. After cardiologists read the initial exam, the CT images are stripped and sent to a radiologist to read and he generates an additional report. We do not have a charge for the CT radiologist’s component. Is there a CPT® that would allow that?
An interventional cardiologist places three drug-eluting stents, one in the left circumflex and another in the obtuse marginal branch. A third DES stent is deployed within the left anterior descending coronary artery. Do you have any recommendations for reporting?
An interventional cardiologist performs a percutaneous left heart catheterization, then selective injections of the left ventricle and coronary arteries for diagnostic purposes followed by mechanical thrombectomy of the LAD artery with subsequent drug-eluting stent placement in the LAD. Do you have tips for this?
Can we report an unattended sleep study along with a code for cardiac monitoring?
Can we report 93454 if a physician performs road-mapping injections for guidance during a coronary intervention?
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?
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