Wiki Code: G0278

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marty3073

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I am getting alot of denials for this code (G0278). The denial is primary procedure must be billed with this code. Could someone let me know what is the primary procedure code to (G0278).

Thanks
 
93454 is a coronary angiogram and yes can be prime to G0278. However, it depends on the provider's documentation and medical necessity.

The answers you are receiving are vague because you haven't posted a report for more specific answers.
 
Here's the report:

Procedure Description

The patient was prepped and draped in the usual sterile fashion. Under Lidocaine 2% local anesthesia a 5F sheath was placed in the right femoral artery and a 7F sheath was placed in the right femoral vein using the modified Seldinger technique. A 7F balloon-tipped catheter was advanced through the right heart chambers and into the pulmonary artery wedge position. Hemodynamic measurements were made and cardiac output was calculated using the thermodilution method. A 5 F Judkins left number 5 catheter was used to engage the left coronary artery and a 5 F Judkins right number 4 catheter was used to engage the right coronary artery. Right and left coronary angiography was performed in multiple views by hand injections of Optiray 320. A 5F pigtail catheter was used to perform a distal aortogram using power injection of Optiray 320. Following the procedure, the sheaths were sutured into place. There were no immediate complications.
 
marty3073 said:
Here's the report:

Procedure Description

The patient was prepped and draped in the usual sterile fashion. Under Lidocaine 2% local anesthesia a 5F sheath was placed in the right femoral artery and a 7F sheath was placed in the right femoral vein using the modified Seldinger technique. A 7F balloon-tipped catheter was advanced through the right heart chambers and into the pulmonary artery wedge position. Hemodynamic measurements were made and cardiac output was calculated using the thermodilution method. A 5 F Judkins left number 5 catheter was used to engage the left coronary artery and a 5 F Judkins right number 4 catheter was used to engage the right coronary artery. Right and left coronary angiography was performed in multiple views by hand injections of Optiray 320. A 5F pigtail catheter was used to perform a distal aortogram using power injection of Optiray 320. Following the procedure, the sheaths were sutured into place. There were no immediate complications.
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Marty,
this looks like a R & L heart cath with distal aorta angiogram. I hope there is a final impression which should tell what the aortagram showed and also what the cath showed too.

93460-26
G0278
 
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