Jim Pawloski
True Blue
I had someone ask me what the difference between these two codes. I e-mail the person the defiinations that I found on the internet. My main questions are when would you use these codes, especially 93463.
93463 Pharmacologic agent administration (e.g., inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed (List separately in addition to code for primary procedure)
Code 93463 is for reporting of administration of a pharmacologic agent during heart catheterization including three separate assessments of hemodynamic measurements, before, during, and after administration. Documentation should include the following:
• Specific agent(s) administered and route of administration
• Arterial pressure, pulmonary arterial pressure, electrocardiogram and oxygen saturation levels measured throughout the procedure
• Right heart measures before and after administration with repositioning of the right heart cath into the pulmonary wedge position if performed
This code may be used in addition to codes 93451 – 93453, 93456 – 93461, 93530 – 93533. It may only be reported once per cath procedure, although agents may be administered multiple times. Do not report 93463 in conjunction with coronary interventional procedures 92975 or 92977 (coronary thrombolysis), 92980 (stent placement), 92982 (balloon angioplasty), and 92995 (atherectomy). If physiologic exercise is performed use code 93464.
93024
Ergonovine Provocation Test The ergonovine provocation test is used in diagnostic evaluation of patients with coronary arterial spasm (CAS) resulting in Prinzmetal angina. The test is administered with increasing doses of ergonovine to a patient who undergoes continuous ECG monitoring or selective coronary angiography.
Thanks,
Jim Pawloski, CIRCC
93463 Pharmacologic agent administration (e.g., inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed (List separately in addition to code for primary procedure)
Code 93463 is for reporting of administration of a pharmacologic agent during heart catheterization including three separate assessments of hemodynamic measurements, before, during, and after administration. Documentation should include the following:
• Specific agent(s) administered and route of administration
• Arterial pressure, pulmonary arterial pressure, electrocardiogram and oxygen saturation levels measured throughout the procedure
• Right heart measures before and after administration with repositioning of the right heart cath into the pulmonary wedge position if performed
This code may be used in addition to codes 93451 – 93453, 93456 – 93461, 93530 – 93533. It may only be reported once per cath procedure, although agents may be administered multiple times. Do not report 93463 in conjunction with coronary interventional procedures 92975 or 92977 (coronary thrombolysis), 92980 (stent placement), 92982 (balloon angioplasty), and 92995 (atherectomy). If physiologic exercise is performed use code 93464.
93024
Ergonovine Provocation Test The ergonovine provocation test is used in diagnostic evaluation of patients with coronary arterial spasm (CAS) resulting in Prinzmetal angina. The test is administered with increasing doses of ergonovine to a patient who undergoes continuous ECG monitoring or selective coronary angiography.
Thanks,
Jim Pawloski, CIRCC