I am new to Cardiology coding and I am trying to get this right so that my manager does not have to audit me.
here is the scenario
An Impella heart assist device was inserted
Coronary artery angioplasty of the Saphenous vein graft to the left anterior descending
coronary angioplasty of the eight coronary artery
coronary angiogram
left heart cath
left ventriculogram
I know the left heart cath, coronary angio and ventriulgram go together but do I use 93458 or 93459
for the angioplasties I was thinking 92920-LD and 92920-RC but can I do two units of 92920 because 92921 is for each additional branch
finally the Impella 33990 should I code this?
Any help would be appreciated.
thanks
Brianna
here is the scenario
An Impella heart assist device was inserted
Coronary artery angioplasty of the Saphenous vein graft to the left anterior descending
coronary angioplasty of the eight coronary artery
coronary angiogram
left heart cath
left ventriculogram
I know the left heart cath, coronary angio and ventriulgram go together but do I use 93458 or 93459
for the angioplasties I was thinking 92920-LD and 92920-RC but can I do two units of 92920 because 92921 is for each additional branch
finally the Impella 33990 should I code this?
Any help would be appreciated.
thanks
Brianna