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Stent , cardiac cath with temporary pacemaker

  1. #1
    Location
    Melbourne, Florida
    Posts
    124
    Default Stent , cardiac cath with temporary pacemaker
    Medical Coding Books
    STENT , CARDIAC CATH WITH TEMPORARY PACEMAKER

    OK TO PUT BILL 33210-59 WITH STENT AND CARDIAC CATH?
    ANY INPUT WOULD BE APPRECIATED

    75898-26 -ANGIOGRAPHY FOLLO
    33210-59 -TEMPORARY PACEMAK
    92980-LC -STENT PLACEMENT S
    93556-2659-PULMONARY/CORONAR
    93555-2659-IMAGING/INTERP/RP
    93545 -INJ OF RADIOPAQUE
    93543 -INJ. DURING CATHE
    93510-26 -LEFT HEART CATHET

    PROCEDURE:
    1. Cardiac catheterization.
    2. PTCA.
    3. Emergency pacemaker placement.

    INDICATION:
    Acute inferior wall MI, severe bradycardia/hypotension/cardiogenic
    shock.
    IMPRESSION:
    1. Overall normal left ventricular function with an EF of 55% to
    60%.
    2. No MR noted.
    3. Significant coronary artery disease noted with 99%
    obstruction in the mid circumflex with thrombus noted in that
    area, 30% to 40% irregularities in the LAD and RCA as well. The
    RCA was a codominant system, and a 75% stenosis noted in the 3rd
    diagonal. This is a small to medium caliber type vessel.
    4. Successful placement of emergency pacemaker in the RV cavity
    with normal function.
    5. Successful PTCA/stenting of the mid circumflex with a 3.0 x
    28-mm Liberte stent taken up to 16 atmospheres and intracoronary
    Adenocard given as well.
    6. Diver catheter used initially.
    7. Followup angiography showed TIMI-3 flow with 0% residual.

    RECOMMENDATION:
    Follow post stent protocol.
    Denise Gilrane-Pillow, CPB

  2. #2
    Default vsmith
    you are correct about the codes. Medicare just paid a case just like this. vicki

  3. #3
    Location
    Melbourne, Florida
    Posts
    124
    Smile
    Thank you so much vicki for your positive response, also we added 71090-26 -pacemaker inserti for the s & i to support the 33210
    Denise Gilrane-Pillow, CPB

  4. #4
    Default
    Why did you code 75898, new at this, a little confused at times.

    Marty

  5. #5
    Default
    Quote Originally Posted by 10marty View Post
    Why did you code 75898, new at this, a little confused at times.

    Marty
    This code should not have been used. This code is for follow-up of embolization or lysis infusion injections. Follow-up angio is part of the angioplasty code.

    Thanks,
    Jim Pawloski CIRCC

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