jtuominen
Guru
Hi there--
Looking for opinions on how other coders might tackle this situation.
12/1: Patient presents with angina and abnormal stress test for coronary angiogram.
Coronary angiogram reveals stenosis of distal left main, extending into LAD, plus an additional LAD lesion. There is also a signifcant lesion in the RCA. MD decides to send patient to surgery for bypass.
12/2: Patient presents for bypass surgery. MD is able to place a RIMA and SVG graft to the right system. But when he tries to locate the LAD, it is buried too deep and the surgeon cannot locate the LAD. He sends the patient back to the cath lab for PCI to LMCA/LAD
12/3 - 12/5: Normal hospital course. No changes in patient's condition/symptoms.
12/6: Patient presents for pre-scheduled PCI to LMCA/LAD. MD does coronary angiogram along with RIMA and SVG gram prior to intervention, there are no new significant findings on angiogram. MD successfully performed PCI to LMCA and LAD.
Would you bill the patient for the second coronary angiogram on the 6th? Or for PCI only?
Looking for opinions on how other coders might tackle this situation.
12/1: Patient presents with angina and abnormal stress test for coronary angiogram.
Coronary angiogram reveals stenosis of distal left main, extending into LAD, plus an additional LAD lesion. There is also a signifcant lesion in the RCA. MD decides to send patient to surgery for bypass.
12/2: Patient presents for bypass surgery. MD is able to place a RIMA and SVG graft to the right system. But when he tries to locate the LAD, it is buried too deep and the surgeon cannot locate the LAD. He sends the patient back to the cath lab for PCI to LMCA/LAD
12/3 - 12/5: Normal hospital course. No changes in patient's condition/symptoms.
12/6: Patient presents for pre-scheduled PCI to LMCA/LAD. MD does coronary angiogram along with RIMA and SVG gram prior to intervention, there are no new significant findings on angiogram. MD successfully performed PCI to LMCA and LAD.
Would you bill the patient for the second coronary angiogram on the 6th? Or for PCI only?