Wiki Stent , cardiac cath with temporary pacemaker

[Pillow1]

STENT , CARDIAC CATH WITH TEMPORARY PACEMAKER

OK TO PUT BILL 33210-59 WITH STENT AND CARDIAC CATH?
ANY INPUT WOULD BE APPRECIATED

75898-26 -ANGIOGRAPHY FOLLO
33210-59 -TEMPORARY PACEMAK
92980-LC -STENT PLACEMENT S
93556-2659-PULMONARY/CORONAR
93555-2659-IMAGING/INTERP/RP
93545 -INJ OF RADIOPAQUE
93543 -INJ. DURING CATHE
93510-26 -LEFT HEART CATHET

PROCEDURE:
1. Cardiac catheterization.
2. PTCA.
3. Emergency pacemaker placement.

INDICATION:
Acute inferior wall MI, severe bradycardia/hypotension/cardiogenic
shock.
IMPRESSION:
1. Overall normal left ventricular function with an EF of 55% to
60%.
2. No MR noted.
3. Significant coronary artery disease noted with 99%
obstruction in the mid circumflex with thrombus noted in that
area, 30% to 40% irregularities in the LAD and RCA as well. The
RCA was a codominant system, and a 75% stenosis noted in the 3rd
diagonal. This is a small to medium caliber type vessel.
4. Successful placement of emergency pacemaker in the RV cavity
with normal function.
5. Successful PTCA/stenting of the mid circumflex with a 3.0 x
28-mm Liberte stent taken up to 16 atmospheres and intracoronary
Adenocard given as well.
6. Diver catheter used initially.
7. Followup angiography showed TIMI-3 flow with 0% residual.

RECOMMENDATION:
Follow post stent protocol.

 

[vsmith]

vsmith

you are correct about the codes. Medicare just paid a case just like this. vicki

 

[Pillow1]

Thank you so much vicki for your positive response, also we added 71090-26 -pacemaker inserti for the s & i to support the 33210

 

[10marty]

Why did you code 75898, new at this, a little confused at times.

Marty

 

[Jim Pawloski]

Why did you code 75898, new at this, a little confused at times.

Marty

This code should not have been used. This code is for follow-up of embolization or lysis infusion injections. Follow-up angio is part of the angioplasty code.

Thanks,
Jim Pawloski CIRCC