Cardiology Question for the Week of February 15, 2021
MedLearn Publishing
February 14, 2021
Please explain the difference between single study myocardial perfusion SPECT (78451) and multiple studies SPECT (78452).
Please explain the difference between single study myocardial perfusion SPECT (78451) and multiple studies SPECT (78452).
If a coronary angioplasty (PTCA) is done, then a drug-eluting stent (DES) is attempted, but unable to cross lesion do you code this as C9600-74?
Do you have any advice on code 92941/C9606?
Do you have any tips for new code 33741?
Can we bill for an angiogram and catheter placement for a failed access site done during a Left Heart Catheterization (LHC)? For example, the right radial artery (RRA) access was obtained but we could not navigate the wire to the right subclavian. Right brachial artery angiography was performed through the diagnostic catheter. There was moderate tortuosity and the vessel size was small, and a decision was made to pursue a right femoral artery access. Could we bill 36140-59 and 75710-59 with LHC 93458?
Can we separately report selective vascular catheterization codes when performed with an EP study?
Can we map the coronary sinus by contrast injection with either codes 33225 or 33224?
Do you have any tips for coding 33225 if a dual-chamber pacemaker required an upgrade to a biventricular pacemaker and new right ventricular leads are not implanted?
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?
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