I am not sure what question you want answered. I will say that since they report using different methods, then there is nothing odd about it. A patient ecounter at a cath lab can easily result in multiple procedures (CPT codes reported) being performed. For instance, a typical left heart cath will include the following codes: 93510,93545,93556. That is three codes for one encounter and is very conservative.
If your quesion is how can they report using different methods? Then I suggest that is a business or perhaps even legal question, not a coding question.
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