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Thread: Catherization

  1. #1
    Join Date
    Apr 2007

    Default Catherization

    AAPC: Back to School
    I'm new to this, are these the right selection

    CPT 93510.26
    CPT 93556.26
    CPT 93555.26
    CPT 93545
    CPT 93543

    DOES CPT 75710 fit into this, or is it included into CPT 93510.

    Cardiac catheterization.

    1. Shortness of breath.
    2. Abnormal stress test.

    Mild coronary artery disease.

    After informed and written consent was obtained. Patient was transferred to
    catheterization laboratory. Right groin was prepped and draped in a sterile
    manner. Using a 6-French sheath, the left and right coronary angiograms were
    performed using 6-French catheters. Left ventricular angiogram was performed
    using pigtail catheter. Right femoral angiogram was performed via the right
    femoral arterial sheath. Angio-Seal was deployed. Patient tolerated the entire
    procedure very well and there were no immediate complications arising from this

    Findings of the cardiac catheterization are as follows:
    Hemodynamics: Left ventricular end-diastolic pressure was 9 mmHg. There was no
    gradient across the aortic valve.

    Left ventricular angiography: Normal left ventricular cavity. Normal left
    ventricular contractility. Ejection fraction of 63%. No evidence of mitral
    regurgitation or filling defect.

    Left coronary angiogram: Left coronary angiogram revealed normal left main
    coronary artery which bifurcates into left anterior descending and circumflex
    artery. The left anterior descending artery is a moderately large caliber
    vessel, 3.5-3.75 mm caliber proximally, with minor plaquing in the proximal
    segment up to 20% to 30%. There is calcification noted in the proximal left
    anterior descending artery. Mid and distal left anterior descending artery is
    free from any significant luminal narrowing. The left anterior descending
    artery wraps around the apex. Septals and diagonals are normal.

    Circumflex artery: This is a large codominant vessel, approximately 4 mm in
    caliber, which is free from any significant luminal narrowing.

    Right coronary angiogram: Right coronary angiogram revealed large codominant
    right coronary artery, at least 4 mm in caliber proximally. It has mild diffuse
    disease in proximal, mid and distal segment, up to 25%. No evidence of
    high-grade stenosis. Posterior descending and posterolateral branches are free
    from luminal narrowing.

    Mild coronary artery disease.

    Medical management.


  2. #2
    Join Date
    Apr 2007
    Green Bay


    Your cardiac cath codes are correct but the 75710 will not be billed separately when it is being performed as part of deciding whether or not to place the AngioSeal.

    Jessica CPC, CCC

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