Cardiology Coding Alert

Question: How should I report single vessel coronary angiography with intravascular ultrasound? Ohio Subscriber Answer: For angiography on only one coronary artery, you should report 93508 (Catheter placement in coronary artery[s], arterial coronary conduit[s], and/or venous coronary bypass graft[s] for coronary angiography without concomitant left heart catheterization). Be sure to append modifier 26 (Professional component) if the cardiologist performs the procedure in a facility other than the physician's office. You should also report codes for the injection procedure and imaging: • 93545 -- Injection procedure during cardiac catheterization; for selective coronary angiography (injection of radiopaque material may be by hand) • 93556 -- Imaging supervision, interpretation and report for injection procedure(s) during cardiac catheterization; pulmonary angiography, aortography, and/or selective coronary angiography including venous bypass grafts and arterial conduits (whether native or used in bypass). Code 93556 also requires modifier 26 for services in a facility. You should not use modifier 26 with [...]