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Thread: Left Hrt Cath with LV Gram

  1. #1
    Join Date
    Apr 2007

    Question Left Hrt Cath with LV Gram

    How would one code this procedure? The primary code is 93510 with a secondary of 93571. Are there other codes that can be used?

    Left Heart Cath, Left ventriculography, Pressure wire, Coronary Angiogram, ACT

    Indications: Chest Pain

    Procedure Summary: Visually estimated LV ejection fraction is 50%, mild global LV hypokinesis, prime wire used to assess the diagnonal branch of the LAD. This showed an FFR of .93 afte adenosine, consistent with no significant obstruction. mild, non-obstructive coronary disease.

    Angiographic findings: LMCA: Normal, LAD: Moderate disease, LCx: Minimal disease, RCA: minimal disease

    Diagnostic Cath Status: Elective

    Entry Locations; Retrograde Percutaneous access was performed through the right femoral artery. A 6 Fr sheath was inserted.

    Procedure Medications; Bivalirudin (angiomax) IV Bolus 10.5 ml, Bivalirudin Drip (Angionmax drip) 24.5 ml, Adenosine IC 42, Adenosine IC 50

    Catheters Guide; Metronic 6.0 FR JL 4.0 (Lt Coronary Angiography), Medtronic 6.0 FR JR 4.0 (Rt Coronary Angiography), Medtronic 6.0 FR Pegtail angled (Lt ventriculography), Right side medtronic G-8 GR EBU 3.5 (Lt coronary angiography)

    Contrast Material: Vispaque 140 ml

    Fluoroscopy time: 4.00 min

    IABP: not used

    VA - LV function assessed as normal

    Ejection Fraction- method EF% estimated 50

    Hemodynamics condition: rest estimated 195.66 Heart Rate: 58 bpm

    Pressure: AO (175/71(112)), LV (161/-1,5), LV (152/-2.7), LV (182/0,10), LV (170/-4,8), LV (166/-5,7), AO (166/65 (108))

    Valve gradients and areas
    Valve - aortic peak (-3), mean (12), aortic peak (-3), mean 12)

    O2 values - 02 capacity 180.88, 02 consumption 195.66

  2. #2
    Join Date
    Apr 2007


    93545, 93543, 93556-26, 93555-26

  3. #3
    Join Date
    Apr 2007

    Default Left Heart Cath

    Thanks a million for your information. Can I use you as a reference for coding additional procedures for Cardiology? I am new at this specialty.

  4. #4
    Join Date
    Apr 2007


    Yes, you can use me as a reference for further coding questions.

  5. #5
    Join Date
    Apr 2007

    Default Cardiac cath

    I have a question about coding a cath as well.
    a coronary angiogram and left ventriculogram
    left femoral artery was cannulated w/ 5 french sheath.
    left coronary system was engaged w/ 5 french jl4 cath.
    right coronary was engaged w/ dr3 cath
    lv gram was performed w/ angled pigtail cath.
    all caths and sheaths were removed

    how would you code this.

  6. #6
    Join Date
    Apr 2007
    Green Bay



    Jessica CPC, CCC

  7. #7
    Join Date
    Apr 2007
    Ann Arbor


    Quote Originally Posted by lcterry View Post
    93545, 93543, 93556-26, 93555-26
    I don't know if you know, but these codes are expired. The codes for this case should be 93458, 93471.


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