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Cardio Coder

  1. #1
    Jamaica/ Manhattan
    Default Cardio Coder
    Medical Coding Books
    Hi List,

    I am stuck on coding some angiograms, please help me!!!!!

    This is all I received from cath lab, could you please let me know if the report is missing any information??

    Left coronary angiography

    Right coronary angiography

    Bypass graft angiography

    LIMA graft angiography

    LM distal main: 80% stenosis

    LAD proximal LAD there was 20 % stenosis

    Mid LAD there was 50% stenosis

    D1 there was a 10% stenosis


    Circumflex angiography: showed minor luminal irregularities with no flow limiting lesions

    Distal circumflex: there was a 50 % stenosis

    OM1: there was a tubular 50% stenosis


    Proximal RCA the distal vessel was supplied by collaterals from the LAD and the proximal RCA there was 100%


    Graft to the mid LAD: the graft was a LIMA: it was normal

    Graft to the 1st obtuse marginal: the graft was a saphenous vein from the aorta there was 95% stenosis

    Any guidance will be appreciated!

    Sandra Monsalve, CPC

  2. Default
    I love coding heart caths and this one is pretty straightforward. You would bill with the following codes:

    93508-26 _ Catheter placement in coronary arteries, including grafts.
    93539- LIMA
    93540 - saphenous graft
    93545 - selective coronary angiography
    93556-26 - imaging S&I pulmonary, oartography adn/or selective coronary angiography including bypass grafts.

    dx: 414.01, 414.02, V458.81

    The lab did not indicate if the catheter was placed in the left ventricle so you cannot bill for a left heart cath. Also, it did not give measurements from the left ventricle. You can only bill for placement of the cath to image the coronary arteries.

    Dee, CPC, CCC

  3. #3
    Jamaica/ Manhattan
    thank you!!

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