OPENSHAW
Guru
Our doctor performed the following:
I coded this at the bottom.
1.) Left heart catheterization
2.) Selective right and left coronary arteriogram
3.) Left ventriculogram
4.) Coronary flow pressure with fractional flow reserve measurement with adenosine
5.) Selective right and left renal arteriogram
6.) Selective right femoral arteriogram
Diagnosis Postprocedure: Coronary artery disease, status post stent to the right coronary artery and left anterior descending, 50% stenosis in the left anterior descending after the stent with a normal coronary fractional flow reserve.
Reason for procedure: the patient has been having significant episodes of retrosternal chest pain, radiation to the neck that occurs mostly at night, awake the patient up from sleep and the patient is relieved with nitroglycerin. The patient had a severe spell which he said it was 10/10, approx. 2 or 3 days ago. The pain accompanied by sob and diaphoresis. The pt. had a stent placed in the RCA several yrs. ago and a stent placed in the LAD also several yrs. ago. The pt. also has a long history of severe hypertension with hypertensive heart disease. She has required approx. 3 to 4 different medications for blood pressure control and even with this amt. of medication use, the blood pressure rtanges between 170/100 to 180/110. Therefore, it was necessary to proceed with cardiac catheterization and renal arteriogram.
Would I code this as the following:
1.) 93452-26-59
2.) 93460-26
3.)
4.) 93571-26
5.) 36252, I am not sure about first order, second order, etc. How do you know which code to use, could be code 36254.
6.) 75710-26-59
Thank you so much for all of your help!
I coded this at the bottom.
1.) Left heart catheterization
2.) Selective right and left coronary arteriogram
3.) Left ventriculogram
4.) Coronary flow pressure with fractional flow reserve measurement with adenosine
5.) Selective right and left renal arteriogram
6.) Selective right femoral arteriogram
Diagnosis Postprocedure: Coronary artery disease, status post stent to the right coronary artery and left anterior descending, 50% stenosis in the left anterior descending after the stent with a normal coronary fractional flow reserve.
Reason for procedure: the patient has been having significant episodes of retrosternal chest pain, radiation to the neck that occurs mostly at night, awake the patient up from sleep and the patient is relieved with nitroglycerin. The patient had a severe spell which he said it was 10/10, approx. 2 or 3 days ago. The pain accompanied by sob and diaphoresis. The pt. had a stent placed in the RCA several yrs. ago and a stent placed in the LAD also several yrs. ago. The pt. also has a long history of severe hypertension with hypertensive heart disease. She has required approx. 3 to 4 different medications for blood pressure control and even with this amt. of medication use, the blood pressure rtanges between 170/100 to 180/110. Therefore, it was necessary to proceed with cardiac catheterization and renal arteriogram.
Would I code this as the following:
1.) 93452-26-59
2.) 93460-26
3.)
4.) 93571-26
5.) 36252, I am not sure about first order, second order, etc. How do you know which code to use, could be code 36254.
6.) 75710-26-59
Thank you so much for all of your help!