Wiki CCTA CPT CODE

KQuinones0111

Contributor
Messages
10
Location
Orlando, FL
Best answers
0
My doctor (Dr. X) read a Cardiac CT Angiogram at the hospital. I coded the exam as 75574-26. However, another physician read a CCTA Lungs and billed the same code, 75574-26. The insurance paid the dr. that read the CCTA Lungs but my doctor (Dr. X) did not get paid. Did the other doctor bill the incorrect code or am I missing something? These are the reports:

Dr. X:
CARDIAC CT ANGIOGRAPHY

CORONARY CT ANGIOGRAM WITH CORONARY ARTERY CALCIUM SCORE

DOS- 6/21/19

Patient Education- Informed consent signed, tech gave post
instructions,patient understood.

INDICATION- Chest pain

REFERRING PHYSICIAN-

COMPARISON- None

TECHNIQUE-

High resolution axial images were obtained through the level of the
heart without intravenous contrast for the purpose of calcium scoring.
The patient was injected with 140 mL of contrastvia an upper extremity
vein with a saline chaser using a dual injector protocol. Following the
bolus, axial images were obtained through the level of the heart. 3-D
post processing with multiplanar reconstructions are performed on a
dedicated workstation. Up-to-date CT equipment and radiation dose
reduction techniques were employed.

Scanner- 64-slice dual-source multidector

Acquisition- Prospective ECG triggering was used. Heart rate at the time
of acquisition were 65 bpm.

Tube potential- KVP- 120 kVp

TECHNICAL QUALITY-
Suboptimal with grainy images

MEDICATION-
Beta blocker administered prior to the procedure.
0.4 mg of nitroglycerin was administered immediately prior to scanning.

CORONARY CALCIUM SCORE AND DISTRIBUTION-

Left main- 0
Left anterior descending- 0
Left circumflex- 0
Right coronary artery- 0
Total Agatston score- 0


CORONARY ARTERY EVALUATION-

Dominance- Patient is right dominant. There are no coronary artery
anomalies.
Left main- No plaque or stenosis.
Left anterior descending- No significant plaque or stenosis with one
diagonal.
The left circumflex artery- No significant plaque or stenosis.
Right coronary- No plaque or stenosis.

CARDIAC MORPHOLOGY AND FUNCTION-

There is No chamber enlargement. There is No left ventricle
hypertrophy.

There is no evidence of hypoperfusion or infarct. There is no
pericardial thickening or effusion.

CARDIAC INDICES-
LV End-diastolic volume- 132.54 mL
LV End-systolic volume- 56.01 mL
LV Stroke volume- 76.53 mL

Myocardial mass- 117.61 g

IMPRESSION-

Suboptimal imaging

1. There is no evidence of significant coronary disease in the left
anterior descending artery.
2. There is no evidence of significant luminal stenosis in the
circumflex.
3. There is no evidence of significant luminal stenosis in the right
coronary
4. Coronary calcium score of 0


This is the other doctor's report:

Test: CT CCTA Lungs
Medical Record #:
Check-in Number: 8592251
Test DT/TM: 06/21/19 10:53
Ordering Physician:

CARDIAC CTA

INDICATION-
R06.02 SHORTNESS OF BREATH.

COMPARISON-
None.

PROCEDURE-
Helical CT imaging was performed through the heart after the uneventful
intravenous administration of 140 mL of Omnipaque 350.

FINDINGS-
Please refer to dedicated cardiologist report for full evaluation of the
heart and coronary arteries.

Visualized lungs are clear. Heart is normal size. No pericardial
effusion. Small hiatal hernia. Visualized upper abdomen and soft tissues
are normal. No acute osseous abnormalities.

IMPRESSION-
1. No acute chest disease.
2. Please refer to dedicated cardiologist report by Dr. "X" for full
evaluation of the heart and coronary arteries.

I believe Dr. X bills 75574-26 and the other doctor should have billed 71275-26. Can someone please help?

Thanks!
Keila
 
Top