Wiki Heart Catheterization Coding

[pJohnson15]

Can anyone help me with the proper coding for this? My provider documented: 1. Left Heart Catheterization 2. Coronary angiography 3. Left subclavian angiography and pullback gradient measurement

I am thinking that the LHC with angiography would be 93458, but I am not sure what code to use for the subclavian angiography.

Thank you in advance,
Pamela

 

[Jim Pawloski]

Can anyone help me with the proper coding for this? My provider documented: 1. Left Heart Catheterization 2. Coronary angiography 3. Left subclavian angiography and pullback gradient measurement

I am thinking that the LHC with angiography would be 93458, but I am not sure what code to use for the subclavian angiography.

Thank you in advance,
Pamela

If the left subclavian was injected for looking at the LIMA for possible bypass surgery, then you have 93459 for LHC w/ Bypass Grafts. If the imaging was done for subclavian steal, or stenosis some down the subclavian, then you have 36215/ 75710. It is had to determine since there is so little information that I can go in.

HTH,
Jim Pawloski, CIRCC