OPENSHAW
Guru
Our doctor did the following:
1.) right heart catheterization
2.) selective coronary angiography
3.) aortic root angiography
4.) closure of the right common femoral artery using a #6 french angio- seal device
5.) a lhc was attempted multiple times but unsuccessful.
The patient was on the schedule for a rt and lhc and has severe aortic stenosis. I have attached part of the op report for your review regarding the lhc that was attempted.
The part regarding the lhc in the op report reads as follows:
Thereafter, we performed selective coronary angiography using a jl4 catheter and a jr4 catheter, which demonstrated no occlusive coronary artery disease. Thereafter, we attempted to perform a left heart catheterization initially using a multipurpose catheter followed by a feldman catheter. Multiple attempts to do it under multiple fluoroscopic views were not successful and we abandoned that in favor of obtaining further noninvasive imaging namely possibly a transesophageal echocardiogram to assess the valve area by telemetry. At this time we performed an aortic root angiography that demonstrated mild aortic insufficiency. The diagnosis is 424.1
should i code this as 93456-26, 93458-26-53, 93567. I know that code 93458 bundles to code 93456. The diagnosis is the same which means that code 93458 will prob not get paid.
Or
93460-26-53, 93567
i do not code for cpt code 75710 since this code bundles.
AFTER READING THE MODIFIERS I AM NOW THINKING 93460-26-52, 75710.
Thank you!
1.) right heart catheterization
2.) selective coronary angiography
3.) aortic root angiography
4.) closure of the right common femoral artery using a #6 french angio- seal device
5.) a lhc was attempted multiple times but unsuccessful.
The patient was on the schedule for a rt and lhc and has severe aortic stenosis. I have attached part of the op report for your review regarding the lhc that was attempted.
The part regarding the lhc in the op report reads as follows:
Thereafter, we performed selective coronary angiography using a jl4 catheter and a jr4 catheter, which demonstrated no occlusive coronary artery disease. Thereafter, we attempted to perform a left heart catheterization initially using a multipurpose catheter followed by a feldman catheter. Multiple attempts to do it under multiple fluoroscopic views were not successful and we abandoned that in favor of obtaining further noninvasive imaging namely possibly a transesophageal echocardiogram to assess the valve area by telemetry. At this time we performed an aortic root angiography that demonstrated mild aortic insufficiency. The diagnosis is 424.1
should i code this as 93456-26, 93458-26-53, 93567. I know that code 93458 bundles to code 93456. The diagnosis is the same which means that code 93458 will prob not get paid.
Or
93460-26-53, 93567
i do not code for cpt code 75710 since this code bundles.
AFTER READING THE MODIFIERS I AM NOW THINKING 93460-26-52, 75710.
Thank you!
Last edited: