Wiki Cardio Coder

[sandyy2510]

Hi List,

I am stuck on coding some angiograms, please help me!!!!!

This is all I received from cath lab, could you please let me know if the report is missing any information??


Left coronary angiography

Right coronary angiography

Bypass graft angiography

LIMA graft angiography



LM distal main: 80% stenosis

LAD proximal LAD there was 20 % stenosis

Mid LAD there was 50% stenosis

D1 there was a 10% stenosis

CX

Circumflex angiography: showed minor luminal irregularities with no flow limiting lesions

Distal circumflex: there was a 50 % stenosis

OM1: there was a tubular 50% stenosis


RCA

Proximal RCA the distal vessel was supplied by collaterals from the LAD and the proximal RCA there was 100%

Grafts:

Graft to the mid LAD: the graft was a LIMA: it was normal

Graft to the 1st obtuse marginal: the graft was a saphenous vein from the aorta there was 95% stenosis


Any guidance will be appreciated!



Sandra Monsalve, CPC

 

[deeva456]

I love coding heart caths and this one is pretty straightforward. You would bill with the following codes:

93508-26 _ Catheter placement in coronary arteries, including grafts.
93539- LIMA
93540 - saphenous graft
93545 - selective coronary angiography
93556-26 - imaging S&I pulmonary, oartography adn/or selective coronary angiography including bypass grafts.

dx: 414.01, 414.02, V458.81

The lab did not indicate if the catheter was placed in the left ventricle so you cannot bill for a left heart cath. Also, it did not give measurements from the left ventricle. You can only bill for placement of the cath to image the coronary arteries.

Dee, CPC, CCC

 

[sandyy2510]

thank you!!