I am probably making this more complicated then it needs to be but I am trying to code a right and left (retrograde) heart cath with congenital anomalies that includes an ASD closure with both coronary and pulmonary angios S&I.
Per the CPT book I have coded 93580 for the ASD closure and used add on code 93662 for the intracardiac echo.
The CPT book states that 93580 includes a RHC but nothing of the LHC is mentioned. Can I also code 93454 with modifier 59 for the LHC and coronary angio S&I? Is there another code I can use to bill for the pulmonary angio? The only pulmonary angio code I know of is the 93568 which is an add on code that cannot be paired with the 93454 or the 93580. Is the pulmonary angio included in the 93580?
Please help..
Per the CPT book I have coded 93580 for the ASD closure and used add on code 93662 for the intracardiac echo.
The CPT book states that 93580 includes a RHC but nothing of the LHC is mentioned. Can I also code 93454 with modifier 59 for the LHC and coronary angio S&I? Is there another code I can use to bill for the pulmonary angio? The only pulmonary angio code I know of is the 93568 which is an add on code that cannot be paired with the 93454 or the 93580. Is the pulmonary angio included in the 93580?
Please help..