jtuominen
Guru
So here is what happenend...help!
Day 1: Patient comes in for an elective left heart catheterization with coronary angiography and left ventriculogram. Procedure indication is chest pain. The MD does find a suspicious looking region in the LAD. He wants to perform an FFR of the lesion, but he is a diagnostic physician only and not credendtialed to do the FFR procedure. He asks an interventional doctor to look at the films and they agree FFR is warranted, but the interventional decides he cannot do the procedure today.
Day 2: Interventional doctor performs a coronary angiogram of the LAD only, and also then performs FFR. The results show that the lesion is not flow limiting. No further intervention is rendered.
Day 1: I charged 93510, 93543, 93545, 93555, 93556 per the documentation.
Day 2: I am stuck! I cant charge for the FFR with 93571 unless I charge for a the coronary angiogram. But is this second coronary angiogram billable? There was no change in the patient condition and no change in the findings between the Day 1 and Day 2 angiogram.
So, should I charge the patient for 93508, 93545, and 93556 along with 93571 on day 2?
Help!
Day 1: Patient comes in for an elective left heart catheterization with coronary angiography and left ventriculogram. Procedure indication is chest pain. The MD does find a suspicious looking region in the LAD. He wants to perform an FFR of the lesion, but he is a diagnostic physician only and not credendtialed to do the FFR procedure. He asks an interventional doctor to look at the films and they agree FFR is warranted, but the interventional decides he cannot do the procedure today.
Day 2: Interventional doctor performs a coronary angiogram of the LAD only, and also then performs FFR. The results show that the lesion is not flow limiting. No further intervention is rendered.
Day 1: I charged 93510, 93543, 93545, 93555, 93556 per the documentation.
Day 2: I am stuck! I cant charge for the FFR with 93571 unless I charge for a the coronary angiogram. But is this second coronary angiogram billable? There was no change in the patient condition and no change in the findings between the Day 1 and Day 2 angiogram.
So, should I charge the patient for 93508, 93545, and 93556 along with 93571 on day 2?
Help!
