Wiki Coronary Angio w/LV Gram

[amym]

The doctor turned in charges stating coronary angio with lv gram. Is it appropriate to bill this as 93454?

PROCEDURE: The right common fem artery was accessed. There was no significant vascular disease in the visualized segments of RT common femoral artery.
FINDINGS:
1. Left main: moderate-sized vessel with no significant obstructive CAD.
2. Ramus: moderate-sized vessel with no luminal irregularities
3. LAD: moderate-sized vessel with no luminal irregularities
4. Diagonal 1: moderate-sized vessel with no luminal irregularities
5. Left circumflex: moderate-sized vessel with no luminal irregularities.
6. Right coronary artery: moderate to large dominant vessel with no luminal irregularities
7. LV gram: LV systolic function was moderately reduced. Estimated ejection fraction is 30% to 35%.
8. No significant gradient across the aortic valve.
9. Elevated LVEDP.

 

[jlb102780]

the doctor turned in charges stating coronary angio with lv gram. Is it appropriate to bill this as 93454?

Procedure: The right common fem artery was accessed. There was no significant vascular disease in the visualized segments of rt common femoral artery.
Findings:
1. Left main: Moderate-sized vessel with no significant obstructive cad.
2. Ramus: Moderate-sized vessel with no luminal irregularities
3. Lad: Moderate-sized vessel with no luminal irregularities
4. Diagonal 1: Moderate-sized vessel with no luminal irregularities
5. Left circumflex: Moderate-sized vessel with no luminal irregularities.
6. Right coronary artery: Moderate to large dominant vessel with no luminal irregularities
7. Lv gram: Lv systolic function was moderately reduced. Estimated ejection fraction is 30% to 35%.
8. No significant gradient across the aortic valve.
9. Elevated lvedp.

93458

hth