Heart cath with peripheral

kdoughty

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Need some advice on what to code for the peripheral part of this.

Procedure: Left Ventriculography, Left Cardiac Catherization, Coronary Angiography and Abdominal Aortography

Indications: Chest pain, Shortness of breath, Atherosclerotic coronary artery disease in the native coronary artery. Positive stress nuclear stress test.

Description of procedure:
Approach:
- Right femoral artery approach. Access method: Percutaneous puncture.

Findings/interventions:
Aortography injecions
-The pigtail catheter was advanced into the suprarenal aorta and an injection of contrast was performed.

Aorta and Major Vessels
- There was a 70 to 80% difuse atherosclerotic stenosis in the right common and proximal external iliac arteries. There was a 70 to 80% diffuse atherosclerotic stenosis in the left common and proximal external iliac arteries. There was a 40 to 50% diffuse atherosclerotic stenosis in the infrarenal aorta.

Provation coded this 75625 and G0278. Would that be correct? How would this be coded MCR and Commercial??
Thanks!
 

kdoughty

Networker
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Location
Columbus, Ohio
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Yes, the catheter was left in the Aorta. If it's non Medicare then would you bill 75716 instead of the G0278 or should it be 75630?
 
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