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Wiki Need help coding these 3 cases

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LOVE2CODE

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I am in need of help with coding these 3 cases:

1)
-Selective left and right coronary angiogram.
-Left heart cath w/o left ventricular angiogram
-Intravascular ultrasound of the LAD/LM and OM/LCX
-Successful percutaneous intervention of inferior branch of the obtuse marginal 2 using 2 overlapping drug-eluting stents. Pre-intervential stenosis great than 90%. Post-interventional stenosis 0%. Stents used were two 2.5 x 8 mm Xience V overlapping stents.
-Intracoronary nitroglycerin
-Conscious sedation for 90 mins.

2)
-Selective left and right coronary angiogram
-Left heart cath w/o left ventricular anigiogram
-Coronary artery bypass graft study
-Intracoronary nitroglycerin x5
-Conscious sedation for 90 mins
-Successful percutaneous intervention of inferior branch of the obtuse marginal 2 using 2 overlapping drug-eluting stents. Pre-intervential stenosis great than 80%. Post-interventional stenosis 0%. Stents used were two 3.5 x 8 mm Xience V overlapping stents.

3)
-Selective left and right coronary angiogram.
-Left heart cath w/o left ventricular angiogram
-Intravascular ultrasound of the mid right coronary artery lesion
-Fractional flow reserve of the mid right coronary artery lesion
-Intracoronary nitroglycerin
-Conscious sedation for 60 mins.
-Right common femoral arteriogram and right common femoral arteriotomy closure w/StarClose.

These new Cardio codes have me so confused. Thanks for your help.
 
LOVE2CODE said:
I am in need of help with coding these 3 cases:

1)
-Selective left and right coronary angiogram.
-Left heart cath w/o left ventricular angiogram
-Intravascular ultrasound of the LAD/LM and OM/LCX
-Successful percutaneous intervention of inferior branch of the obtuse marginal 2 using 2 overlapping drug-eluting stents. Pre-intervential stenosis great than 90%. Post-interventional stenosis 0%. Stents used were two 2.5 x 8 mm Xience V overlapping stents.
-Intracoronary nitroglycerin
-Conscious sedation for 90 mins.

2)
-Selective left and right coronary angiogram
-Left heart cath w/o left ventricular anigiogram
-Coronary artery bypass graft study
-Intracoronary nitroglycerin x5
-Conscious sedation for 90 mins
-Successful percutaneous intervention of inferior branch of the obtuse marginal 2 using 2 overlapping drug-eluting stents. Pre-intervential stenosis great than 80%. Post-interventional stenosis 0%. Stents used were two 3.5 x 8 mm Xience V overlapping stents.

3)
-Selective left and right coronary angiogram.
-Left heart cath w/o left ventricular angiogram
-Intravascular ultrasound of the mid right coronary artery lesion
-Fractional flow reserve of the mid right coronary artery lesion
-Intracoronary nitroglycerin
-Conscious sedation for 60 mins.
-Right common femoral arteriogram and right common femoral arteriotomy closure w/StarClose.

These new Cardio codes have me so confused. Thanks for your help.
Click to expand...


Case 1)
93458, 92978, 92979, 92980 or G0290
Case 2)
93459, 92980 or G0290
Case 3)
93458, 92978, 93571

HTH,
Jim Pawloski, CIRCC
 
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