Jim Pawloski
True Blue
I'm reading a cardiac dictation in which the Cardiologist try to do a heart cath from the right arm. The patient's anatomy had the Innomiate artery coming off the decending part of the thoracic aorta, so he could not get the proper angle to get to the coronaries. I was thinking of 93508 with a modifier of -52, since the tried for two hours using multiple catheter types. The dr. did not go through the femorals because of severe disease. Any ideas on this?