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Cardiology Coding Alert

Reader Question:

+93567 Starts With Repositioning Cath

Published on Fri Jan 14, 2011

Question: May we bill +93567 with heart catheterization codes 93451-93461 if there is no separate catheter placed in the aorta? If yes, should we append modifier 59? Codify Member Answer: CPT® Changes 2011: An Insider's View offers a procedure description for +93567 (Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography [List separately in addition to code for primary procedure]) that refers to "repositioning" the catheter. It states: "codes 93530-93533 or 93451-93461 include the work of passing the catheter into the aorta. The work of 93567 begins with repositioning of catheter for aortogram." The remainder of the description covers: Attaching a power injector Positioning the catheter in the target area Using fluoroscopic guidance Filling the aorta via power injection Monitoring arterial pressure, ECG, and oxygen saturation Reviewing additional coronary angiography images and describing them in the report Monitoring for heart failure and nephropathy caused by [...]
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