Pediatric Cardiology note-Hypoplastic Left Heart Syndrome
Body of the Report Reads:
A right and left heart cath was then performed by advancing a pigtail catheter through the arterial sheath to the descending aorta and a balloon wedge catheter to both superior vena cava, all four pulmonary veins, right atrium, right ventricle with hemodynamic data obtained in the DAO, RSVC, LSVC, RUPV, RLPV, LUPV, LLPV, RA, RV. There was great difficulty in advancing the balloon wedge catheter to the pulmonary artery position, so a Cobra catheter was exchanged and advanced to the right pulmonary artery position. We elected not to cross to the left pulmonary artery because there was a stent already placed. Angiography was performed in the RSVC, LSVC, all four Pulmonary veins, RPA and Aortic Root.
This is the body of the cath report. The CPT for Congenital Cardiology Right and Left Heart Cath performed was CPT 93531. I personally tried to change it to a Right Heart Cath only Congenital CPT 93530. Physician argued and stated the patient is Hypoplastic Left heart which means he only has one systemic ventricle with the right ventricle doing all the work. She thinks because she engaged the 4 pulmonary veins this would still consider this a Retrograde Right/Left Heart Cath Congenital CPT 93531.
Thanks for your help,
Rhonda L Stewart CPC, CCC