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Wiki LHC w/left ventricular pressure recording w/out ventriculogram

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amanda6490

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Would this be 93454 or 93458 because there is a cross over made to obtain the pressure recording?
 
By definition a left heart cath happens when the catheter is crossed into the left ventricle, so as long as the documentation states that happened you can bill 93458 with or without the left ventriculogram.
 
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