OPENSHAW
Guru
Our doctor did the following:
1.) right heart catheterization
2.) selective coronary angiography
3.) aortic root angiography
4.) closure of the right common femoral artery using a #6 french angio- seal device
5.) a lhc was attempted multiple times but unsuccessful.
The patient was on the schedule for a rt and lhc and has severe aortic stenosis. I have attached part of the op report for your review regarding the lhc that was attempted.
The part regarding the lhc in the op report reads as follows:
Thereafter, we performed selective coronary angiography using a jl4 catheter and a jr4 catheter, which demonstrated no occlusive coronary artery disease. Thereafter, we attempted to perform a left heart catheterization initially using a multipurpose catheter followed by a feldman catheter. Multiple attempts to do it under multiple fluoroscopic views were not successful and we abandoned that in favor of obtaining further noninvasive imaging namely possibly a transesophageal echocardiogram to assess the valve area by telemetry. At this time we performed an aortic root angiography that demonstrated mild aortic insufficiency. The diagnosis is 424.1
should i code this as 93456-26, 93458-26-53, 93567. I know that code 93458 bundles to code 93456. The diagnosis is the same which means that code 93458 will prob not get paid.
Or
93460-26-53, 93567
I do not code for cpt code 75710 since this code bundles.
OR
93460-26-52, 93567
OR SHOULD I BILL
93456-26-22, W/ MOD 22, OP REPORT REFLECTING TIME COMPONENT, 93567
ANY SUGGESTIONS!
1.) right heart catheterization
2.) selective coronary angiography
3.) aortic root angiography
4.) closure of the right common femoral artery using a #6 french angio- seal device
5.) a lhc was attempted multiple times but unsuccessful.
The patient was on the schedule for a rt and lhc and has severe aortic stenosis. I have attached part of the op report for your review regarding the lhc that was attempted.
The part regarding the lhc in the op report reads as follows:
Thereafter, we performed selective coronary angiography using a jl4 catheter and a jr4 catheter, which demonstrated no occlusive coronary artery disease. Thereafter, we attempted to perform a left heart catheterization initially using a multipurpose catheter followed by a feldman catheter. Multiple attempts to do it under multiple fluoroscopic views were not successful and we abandoned that in favor of obtaining further noninvasive imaging namely possibly a transesophageal echocardiogram to assess the valve area by telemetry. At this time we performed an aortic root angiography that demonstrated mild aortic insufficiency. The diagnosis is 424.1
should i code this as 93456-26, 93458-26-53, 93567. I know that code 93458 bundles to code 93456. The diagnosis is the same which means that code 93458 will prob not get paid.
Or
93460-26-53, 93567
I do not code for cpt code 75710 since this code bundles.
OR
93460-26-52, 93567
OR SHOULD I BILL
93456-26-22, W/ MOD 22, OP REPORT REFLECTING TIME COMPONENT, 93567
ANY SUGGESTIONS!
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