left heart cath

[mdunn]

misty, I'm with you. I am confused about that as well. The code states with or without the lv gram so do we just ignore that?

[dpeoples]

Originally Posted by mdunn

What determines whether to bill 93454 or 93458. In the dictation the physician states "the aortic vavle was cross", but the ventriculogram was not performed. The nurses that enter the charges believe this is 93454 because there was no ventriculogram, but I feel it is still 93458(left heart cath) because the aortic valve was crossed. Code 93458 states "ventriculogram, when performed".

from Zhealth Diagnostic and Interventional Cardiovascular Coding Reference 2011

"Documentation of pressures in the right heart or left heart chambers is necessary to submit a "heart cath" code for one of these procedures"...




also, don't forget about 93452...LHC w/o coronary angiography

HTH