Cardiology Coding Alert
Signs and Symptoms Support This Heart Cath
Question: The patient had a left-sided heart catheterization, selective coronary angiography, and left ventriculography. For the indications, it says chest pain. Which CPT® and diagnosis codes should I report?
Answer: To describe the procedure, use 93458-26 (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; Professional component).
For the diagnosis, be sure to check for any definitive findings in the documentation so you can choose the most appropriate diagnosis code(s).
The chest pain will also help support the procedure even if there are no definitive findings. For the chest pain, report 786.50 (Unspecified chest pain).
ICD-10: The matching ICD-10 code is R07.9 (Chest pain, unspecified).
Codify Member
Cardiology Coding Alert
- ECG:
93010 Is Sometimes the Right Choice on Cardiac Cath Day
The trick is pinpointing diagnostic electrocardiography. ECGs are bundled into cardiac catheterizations. But if you [...] - Category III:
0180T Steps In for 64+ Lead ECG
The definitions for routine ECG codes 93010-93015 state “at least 12 leads.” So you have [...] - HCPCS:
J0152 May Be Ditched in 2014 for Adenosine
A new J code appears to be on the horizon. The way you report units [...] - CMS:
Ordering/Provider Edit Implementation Is on Hold
You have a little more time to verify that providers are eligible to order Medicare [...] - ICD-10-CM:
I49.3 Gives Ventricular Premature Beats Their Own Code in 2014
Term swap: ICD-10 uses ‘depolarization’ instead of ‘beats.’ A quick search of payer policies reveals [...] - Cardioversion:
92960 Won't Fly for Emergency Defibrillation
CPR and cardiac cycle synchronization offer key clues to proper coding. Cardioversions and defibrillations can [...] - You Be the Coder:
Signs and Symptoms Support This Heart Cath
Question: The patient had a left-sided heart catheterization, selective coronary angiography, and left ventriculography. For [...] - Reader Question:
Calculate Sequester Reduction Properly
Question: Does the 2 percent sequestration cut apply to claims with dates of service on/after [...] - Reader Question:
E/M May Cover MD's Role in Procainamide Challenge
Question: What code would I use for procainamide challenge used to rule out Brugada syndrome? [...] - Reader Question:
36556 Use Depends on Termination Point
Question: My physician noted that he inserted a central line through the right femoral vein [...]
