jtuominen
Guru
Hi again--
A few coders in my department have been debating the defintion of a left heart cath. A few of them say that they would only code a 93510/37.22 when the dictation states that a left ventriculogram (93543, 93555/ 88.53)was performed. For example, if documentation states a left ventriculogram was not performed due to dye load they would not code 93543, 93555/88.53 AND forgoe coding 93510/37.22 I have always believed these two procedures are independent of one another, and all you need to code a 93510/37.22 is documentation that the catheter entered the left ventricle. If documentation is a little vague I try to see if I can find something that tells me a pullback pressure was recorded from the LV to AO. Is this a good piece of information to delinate when a 93510/37.22 is performed? What is the consensus out there?
A few coders in my department have been debating the defintion of a left heart cath. A few of them say that they would only code a 93510/37.22 when the dictation states that a left ventriculogram (93543, 93555/ 88.53)was performed. For example, if documentation states a left ventriculogram was not performed due to dye load they would not code 93543, 93555/88.53 AND forgoe coding 93510/37.22 I have always believed these two procedures are independent of one another, and all you need to code a 93510/37.22 is documentation that the catheter entered the left ventricle. If documentation is a little vague I try to see if I can find something that tells me a pullback pressure was recorded from the LV to AO. Is this a good piece of information to delinate when a 93510/37.22 is performed? What is the consensus out there?
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