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heart123

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when the doc says

1. Fluoroscopic guided left femoral arterial access
2. Selective coronary angiography
3. Left heart catheterization

can i code 77001,26, with 93458 ???
or is it global to the cath and where can i find that info
TIA
 
77001-26 is included with the heart cath and is not separately reportable. Here is from the NCCI manual:
4. A number of diagnostic and therapeutic cardiovascular procedures (e.g., CPT codes 92950-92998, 93451-93533, 93600-93624, 93640-93657) routinely utilize intravenous or intra-arterial vascular access, routinely require electrocardiographic monitoring, and frequently require agents administered by injection or infusion techniques. Since these services are integral components of the more comprehensive procedures, codes for routine vascular access, ECG monitoring, and injection/ infusion services are not separately reportable. Fluoroscopic guidance is integral to diagnostic and therapeutic intravascular procedures and is not separately reportable. HCPCS/CPT codes describing radiologic supervision and interpretation for specific interventional vascular procedures may be separately reportable.
https://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/index.html
 
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