Cardiology Coding Alert
+93567 Starts With Repositioning Cath
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:
Keep in mind that reporting +93567 for roadmapping would be inappropriate. For example, if the physician performs aortography for the purpose of identifying bypass grafts, you should not use +93567 for that roadmapping.
You should not need to use modifier 59 (Distinct procedural service) when you report +93567 in addition to an appropriate cardiac cath code.
FYI: A cardiac catheterization chart in the new CPT® 2012 manual features cardiac cath codes 93451-93461 and indicates you may report +93567 in addition to 93452-93461.
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