Cardiology Coding Alert

Reader Questions:

Focus on Correct Code for Cath Procedure

Question: My cardiologist performed imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. They performed these injections to assess any coronary artery disease within the artery. Which code should I report on my claim?

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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).

Don’t miss: Only report 93458 to represent only imaging supervision and interpretation for this procedure.

Caution: Never report 93458 in conjunction with codes 33418, 0345T, 0483T, 0484T, 0544T, 0545T, or 0643T for diagnostic coronary angiography or left heart catheterization procedures intrinsic to the valve repair, annulus reconstruction procedure, or left ventricular restoration device implantation.

You should also never report 93458 in conjunction with codes 0408T, 0409T, 0410T, 0411T, 0414T, or 0415T.

Modifier alert: If you are reporting only the professional component for this service, append professional modifier 26 (Professional component) to 93458.

If you are reporting only the technical component for the service, append modifier TC (Technical component) to the code unless the hospital provided the technical component. In that case, you should not append modifier TC because the hospital’s portion is inherently technical.

Never append a professional or technical modifier to a code when reporting a global service where one provider renders both the professional and technical components.