20160930 - Save Up to 43% on CPC Training | Learn More

AAPC - August DL Sale: 50% OFF
Results 1 to 7 of 7

Thread: Left Hrt Cath with LV Gram

  1. #1
    Join Date
    Apr 2007
    Posts
    59

    Question Left Hrt Cath with LV Gram

    AAPC: CPC Promo
    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

    Conclusions:
    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
    Posts
    21

    Default

    93545, 93543, 93556-26, 93555-26

  3. #3
    Join Date
    Apr 2007
    Posts
    59

    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
    Posts
    21

    Default

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

  5. #5
    Join Date
    Apr 2007
    Posts
    18

    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
    Location
    Green Bay
    Posts
    402

    Default

    93458-26

    Jessica CPC, CCC

  7. #7
    Join Date
    Apr 2007
    Location
    Ann Arbor
    Posts
    1,007

    Default

    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.

    Jim

Similar Threads

  1. Left Heart Cath - femoral artery
    By Dgiannetto in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 07-09-2015, 09:48 AM
  2. Right + Left Heart Cath
    By amym in forum Cardiology
    Replies: 5
    Last Post: 06-17-2014, 08:39 AM
  3. Replies: 1
    Last Post: 06-28-2011, 10:45 PM
  4. Left heart cath w/ left ventriculogram
    By cardiology101 in forum Cardiology
    Replies: 3
    Last Post: 06-28-2011, 10:28 PM
  5. left heart cath - Documention states
    By Theresa Yeager in forum Cardiology
    Replies: 2
    Last Post: 02-21-2010, 04:00 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.