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Swan-Ganz 93503

Messages
106
Location
New Hartford, CT
Best answers
0
Patient presents for diagnositic right heart catheterization. A Swan-Ganz cath was advanced in a retrograde manner while monitoring pressures. Coronary angiography was performed using JR-JL-4 and angled pigtail catheter. There were no complications and minimal blood loss. Upon completion of the procedure, sheaths were removed and Angio-Seal was deployed.

This is what was billed:

93460-26
93503-59

I disagree with the billing of 93503 because the intent of a Swan Ganz cath is that it is left in in order to measure intra-cardiac pressures over a period of time. Any thoughts?
 

sashka

Contributor
Messages
16
Best answers
0
93456 for the coronary angiogram with right heart cath

93460 is for left and right heart cath and coronary angiogram.
Per ZHealth Publishing, there is no add'l reimbursement for leaving a cath in place for monitoring at the conclusion of a rt heart cath or for the introduction of a Swan-Ganz type cath at the time of a right heart cath.
The only code I'd use is 93456.
 
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