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Diagnostic cardiac cath

  1. #1
    Default Diagnostic cardiac cath SECOND OPNION.. Doc of coronaries
    Medical Coding Books
    Procedure: The patient received 25 mg Benadryl, 2 mg Valium intravenously.
    The right groin was prepped and draped in standard manner with 1% Lidocaine.
    The right femoral artery was punctured using 18-gauge thin-walled needle and a
    #6 catheter introducer placed in the right femoral artery using Seldinger
    technique. Coronary angiography was carried out in the standard manner using
    a 6 French left-4 Judkins catheter and 6 French right-4 Judkins catheter. Left
    ventriculogram was performed in RAO projection using 30cc Optiray at 12
    cc/sec. Following the ventriculogram, all the catheters and sheaths were
    removed and the patient left the catheterization lab in good condition without
    apparent complication.

    Codes I have.... 93510,93545,93556,93553,93543

    Just want to clarify that the documentation for the coronaries is sufficient..

    Diagnosis codes,,,,,,, chest pain with a positive pressure test....??

    794.39
    786.50
    Last edited by MMillercpc; 09-17-2009 at 11:38 AM. Reason: incorrect wording

  2. #2
    Location
    Birmingham, Alabama
    Posts
    889
    Default
    Quote Originally Posted by Jiggers01 View Post
    Procedure: The patient received 25 mg Benadryl, 2 mg Valium intravenously.
    The right groin was prepped and draped in standard manner with 1% Lidocaine.
    The right femoral artery was punctured using 18-gauge thin-walled needle and a
    #6 catheter introducer placed in the right femoral artery using Seldinger
    technique. Coronary angiography was carried out in the standard manner using
    a 6 French left-4 Judkins catheter and 6 French right-4 Judkins catheter. Left
    ventriculogram was performed in RAO projection using 30cc Optiray at 12
    cc/sec. Following the ventriculogram, all the catheters and sheaths were
    removed and the patient left the catheterization lab in good condition without
    apparent complication.

    Codes I have.... 93510,93545,93556,93553,93543

    Just want to clarify that the documentation for the coronaries is sufficient..

    Diagnosis codes,,,,,,, chest pain with a positive pressure test....??

    794.39
    786.50
    I have rechecked the cpt descriptions and based on the report above here is what I have:
    93510,93543,93545
    You should not bill for the imaging S& I (93555/93556) because there is no interpretation of the findings of the coronary or ventricular injections.

    I agree with the ICD9 codes.

    HTH
    Danny L. Peoples
    CIRCC,CPC

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