Cardiology Coding Alert

Question: The cardiologist was called in to consult for an inpatient presenting with angina. The physician performs an E/M and decides to perform a left heart cath, which he does the next day. Should I report 99222 for day 1 and 93458 and 99231 for day 2? Should I use modifier 57 on 99222?Codify MemberAnswer: For a scenario in which the cardiologist performs an E/M on day 1 and performs the left heart catheterization on day 2, assuming the codes you list are the appropriate choices for the services provided, you should report:Day 1: 99222 -- Initial hospital care, per day, for the evaluation and management of a patient ...Day 2: 93458 -- Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed.If your payer follows CMS rules, you should not [...]