Cardiology Coding Alert

Reader Questions:

Decipher This Cardiac Cath Question

Question: My cardiologist introduced a catheter through the patient’s skin and moved the guidewire into the peripheral artery under fluoroscopic guidance. They advanced the tip of the catheter to the coronary artery opening and secured the catheter tip at the beginning of the coronary artery. My cardiologist then injected contrast material through the catheter into the artery to check the position of the catheter and produced angiographic images. My cardiologist introduced an additional catheter into the left side of the heart under fluoroscopic guidance to measure the pressure and blood flow in it. For left ventriculography, he injected contrast through the previously placed catheter into the left ventricle to check the cardiac function under fluoro­scopic guidance. My cardiologist removed the catheter and applied pressure for several minutes on the wound for several minutes to stop the bleeding. My cardiologist performed the imaging supervision and interpretation for this procedure. Which code should I report?

AAPC Forum Subscriber

Answer: You should report 93458 (Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed) for this scenario.

Don’t miss: The provider who performs imaging supervision and interpretation for this procedure should report this code.

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