I read the report and you cannot bill 93543 & 93555-26; the reason is highlighted in bold. The CS catheter is used as A GUIDE for placement of the LV epicardial venous lead. If it was medically necessary to perform an coronary angio @ the time of the ICD placement then yes bill 93543 but this is not indicated in the note. Reason to do a balloon -occlusion CS angio for other than selecting a vein branch to place a lead is not indicated. This is considered "road-mapping" or some will call it a "drive-by"
I hope this makes sense, please let me know if you need more info.
The lead was secured in place at its entry to the vein. Then, a coronary sinus guiding sheath was maneuvered into the CS directly using a CS catheter as a guide for placement of a left ventricular epicardial venous pacing lead. A balloon-occlusion CS angiogram was performed and a vein branch selected for lead placement. A thin guidewire An LV pacing lead was advanced down this branch and
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