Cardiology Coding Alert
Handle Congenital Left Heart Cath Question
Question: How should we report left heart catheterization in an adult patient with the diagnosis of congenital heart disease?
New York Subscriber
Answer: CPT® does not provide a left heart catheterization code specific to congenital heart disease services. So for left heart catheterization in a patient with congenital heart disease, you submit code 93452 (Left heart catheterization including intraprocedural injection[s] for left ventriculography, imaging supervision and interpretation, when performed). Append modifier 26 (Professional component) if you’re reporting only the cardiologist’s services.
Watch out: If the service is a combined right and left heart cath for congenital anomalies, choose from congenital codes 93531-93533, which represent combined caths.
Age is not a factor: These codes for catheterization in congenital cardiac conditions are not based on the age of the patient.
Cardiology Coding Alert
- HCPCS 2016:
Know What's New for Lumason, Kengreal, and CT Scans for Shiny Clean Claims in the New Year
Plus: Get Varithena coding tips from the HCPCS committee preliminary decision. With all the fanfare [...] - ICD-10-CM:
Tuck Cardiovascular Symptoms, Chest Sounds, and More Into R09.89
Arterial bruit and rales now fall under the same code. Given the increased specificity requirements [...] - News:
Look for a National Policy on LAAC Coverage Coming Down the Pike
National requirements for FDA-approval and local requirements for code use could affect your claim. CMS [...] - CMS:
Keep Tabs on Conversion Factor and Advance Care Planning Updates With 2016 MPFS Overview
Find answers to questions about ‘incident to’ and global periods. The 2016 Medicare Physician Fee [...] - Reader Question:
Follow Latest Guidance on Excludes1 for ICD-10
Question: When a cath is done and the patient has CAD in a native vessel that [...] - Reader Question:
Capture Codes for 2 PCI Services
Question: The cardiologist performed a PTCA in the LIMA graft to the first diagonal and also [...] - Reader Question:
Check Global and Policies for Modifier 25
Question: The cardiologist interpreted an echo for a hospital patient in the morning (93306-26), and I [...] - You Be the Coder:
Handle Congenital Left Heart Cath Question
Question: How should we report left heart catheterization in an adult patient with the diagnosis of [...]
