Cardiology

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?

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 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?