Thanks for the insight.
The AMA, via CPT Assistant (April 2005), indicates that you may report a true diagnostic catheterization in addition to the therapeutic procedures described by 92980 and 92982: ?These two distinct procedures (diagnostic catheterization and therapeutic procedures), therefore, should be reported separately when performed at the same session or on the same day at a different session.?
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When the cardiologist does perform a distinct 93454-93461 diagnostic service on the same date as a cardiovascular therapeutic service, you should append modifier 59 (Distinct procedural service) to the diagnostic code, advises Christina Neighbors, MA, CPC, CCC, ACS-CA, charge capture reconciliation specialist and coder at St. Joseph Heart & Vascular Center in Tacoma, Wash. You also may need to append modifier 51 (Multiple procedures