Cardiology Question for the Week of August 12, 2024

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 and 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?

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Radiology Question for the Week of July 29, 2024

A physician ordered an ultrasound study to check for abdominal ascites and asked the skin be marked if the ultrasound study is positive. The ordering physician, subsequently, did the paracentesis procedure at the bedside “without” imaging guidance based on the skin markings. How are these studies reported?

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Radiology Question for the Week of July 22, 2024

A patient had two different gray-scale ultrasound exams (76536) completed at the same encounter; one for thyroid nodules and one to evaluate a soft-tissue lump on the patient’s jawline. Can we bill for both of these exams separately?

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