Wiki cath and aortogram

[slampp]

My physician did a left heart catherization with Lv gram and an abdominal aortogram with run off single injection.

The diagnosis are severe triple vessel disease, AAA and critical AS.

Is there a way to bill the Abdominal Aortogram with the heart cath?

 

[theresa.dix@tennova.com]

My physician did a left heart catherization with Lv gram and an abdominal aortogram with run off single injection.

The diagnosis are severe triple vessel disease, AAA and critical AS.

Is there a way to bill the Abdominal Aortogram with the heart cath?

Yes there is. Its depends on where the injection was done in the aorta and the interpretation.

 

[jewlz0879]

You can bill 75625-26 & 75710-26 with heart cath as long as there is medical necessity (I see AAA) and the intent of the abdominal aortogram isn't just looking at renals non-selectively.

For non-selective you would bill G0278 (so if the LLE run-off is done from sheath or catheter in the abdominal aorta, then your code is G0278).

For Medicare, you bill G0275/G0278 for renal angiography or run-off angio when done with heart cath.

HTH