heart

  1. chelsey.lindvig

    Wiki Calcified Stenosis of RCA

    Hello, Can anyone offer some advice on how you would code the following: Lesion #2: 70% calcific stenosis of the mid right coronary artery I keep debating on I25.10 or I25.84 or both! I think the I25.84 would best represent the CAD and following the "due to" in the alpha index would presume...
  2. A

    Wiki Documentation

    I work for a private practice who has refused to provide proper documentation for many years. I am really pushing them to start documenting, but I am getting major push back. I am asking for some help as they will only look at payer guidelines, and nothing else. I need some resources or some...
  3. danskangel313

    Wiki Pacemaker Electrode Lead Replacement - help with Procedure Codes

    I need some help figuring out how to code for electrode replacement on a pacemaker. This is the scenario I'm trying to decipher: Procedure is an epicardial electrode replacement; both the atrial and ventricular leads are replaced. It's my understanding that you don't code for the removal, only...
  4. L

    Wiki Interventional Radiology heart cath

    Guys how to code this please help Left heart cath. LM and RCA injection and angiograms. Descending aortogram with peripheral run-off. LV Ventriculogram angiogram, non selective Thanks
  5. A

    Wiki Right Heart Cath with Endomyocardial Biopsy

    Hi, Can someone please help me confirm if it is ok to add modifier 59 to 93451 in this particular situation? Our physicians do dozens of these procedures and I would like another opinion. I have included the pertinent portion of a sample procedure. RIGHT HEART CATHETERIZATION AND...
  6. D

    Wiki Cardiac Resynchronization Therapy for treatment of Heart Failure

    I am needing some help with Cardiology practice billing CPT 33249 and 33225 for POS 22 to Medicare Part B J5. The claims are being denied as not medically necessary, decision based on NCD policy online. The policy I found is 20.4 NCD for Implantable Automatic Defibrillators. This policy does not...
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