Seems as though everyone has totally answered everything but my actual question. I want to know if you still code 93458 if the ventriculogram is not performed, but the aortic valve is crossed. NO PRESSURES were measured, no ventriculogram.
I am confused. The left heart cath codes are defined as "with or without LVgram" but your are saying the LVgram must be performed to bill on Left HTC?
What determines whether to bill 93454 or 93458. In the dictation the physician states "the aortic vavle was cross", but the ventriculogram was not performed. The nurses that enter the charges believe this is 93454 because there was no ventriculogram, but I feel it is still 93458(left heart cath) because the aortic valve was crossed. Code 93458 states "ventriculogram, when performed".