Cardiology Coding Alert
Reader Question:
Report 93514 for Left Ventricular Punctures
Published on Thu May 01, 2003
Question: When should we report 93514? Code 93528 (Combined right heart catheterization with left ventricular puncture [with or without retrograde left heart catheterization]) seems always to be more appropriate for the service described. Am I missing something? Georgia Subscriber Answer: Most cardiologists rarely report 93514 (Left heart catheterization by left ventricular puncture). This code would be appropriate, for example, when the physician performs a left heart catheterization through a transthoracic approach. This approach might be appropriate for patients who have prosthetic mitral and aortic valves, preventing regular right and left heart cath approaches.
Other Articles in this issue of
Cardiology Coding Alert
- NCCI 9.1 Update:
Look Out for Bundling in SPECT and Cardiac Cath Coding
The latest National Correct Coding Initiative (NCCI) edits version 9.1, effective in April could bring [...] - Prevent Catch-22 Situations in Coronaries With Modifier -22
When cardiologists encounter unexpected difficulties during coronary vessel interventions and have to perform extra work, [...] - 5 Tips for Writing Summary Letters to Avert Appeals
Going the extra mile to convince Medicare and third-party payers that a coronary procedure warrants [...] - You Be the Coder:
Brachytherapy After Angioplasty
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - Reader Question:
Carotid Studies Require Selective Catheterization
Question: Our cardiologist positioned a catheter in the patient's aortic arch and performed an aortic [...] - Reader Question:
Append Modifier -59 for Rest and Stress Echos With Doppler
Question: How should I report a resting echocar-diogram and stress echocardiogram performed on the same [...] - Reader Question:
Verify Angioplasty With Cutting Balloon
Question: Our cardiologist's operative report states that he performed a cutting-balloon atherectomy to the right [...] - Clarification
The April 2003 Cardiology Coding Alert article "Drug-Eluting Stents Open Channels for Increased Reimbursement Flow" [...] - Take to Heart The Big Four When Coding Diagnostic Cardiac Catheterizations
The key to successfully coding and gaining reimbursement for diagnostic right and left heart catheterizations [...] - A Diagnostic Catheterization Recap
Heart catheterization coding follows two basic guidelines: knowing where the physician placed the catheter, and [...] - New G Codes Alter Renal and Iliac Angiography Billing
If you're wondering how to apply G0275 and G0278 the new HCPCS codes for renal [...] - You Be the Coder:
Diagnostic Documentation Required for Coronary Angiography
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - Reader Question:
Establish Guidelines to Eliminate Place-of-Service Denials for Heart Caths
Question: We occasionally receive denials for heart catheterizations, stating that the place of service is [...] - Reader Question:
Bill for Temporary Pacemakers During Cardiac Catheterizations
Question: Our physicians frequently place temporary pacemakers during heart catheterizations. Should we report these separately? [...] - Reader Question:
Report 93514 for Left Ventricular Punctures
Question: When should we report 93514? Code 93528 (Combined right heart catheterization with left ventricular [...] - Reader Question:
Distinguish Directional Atherectomies From Angioplasties
Question: Occasionally, we see the words "cutting balloon" used in our physician's cardiac cath notes. [...]
View All
