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Right Heart Catheterization with Swan-Ganz

  1. Default Right Heart Catheterization with Swan-Ganz
    Medical Coding Books
    Looking for HELP on coding question.

    Our cardiologist performed a Right Heart Catheterization with insertion and placement of Swan-Ganz for monitoring purposes.

    Can we code for both the Right Heart Cath (93501) & Swan-Ganz placement (93503)? Reimbursement for placing the Swan-Ganz is significantly less than the Right Heart Cath. If I can only charge for one my choice would be Right Heart Cath.

    Any advice.

    Revenue Questions in Houston.

  2. Default Rhc

    In reply to your question, You can only bill for the swaz-ganz with a modifier 59 depending on your operative report.

  3. #3
    Tacoma Washington
    This is from my Medicare carrier and how I have always coded a Swan-Ganz. There could be an exception though depending on the report as the last post states.

    Swan Ganz Placement (93503). When a catheter is placed in the right heart for medically
    necessary monitoring purposes, the code 93503 must be reported. The codes describing a right
    heart catheterization (e.g., 93501) are used only for medically necessary diagnostic procedures.
    The code 93503 includes:
    a. Anesthesia or sedation.
    b. The insertion of the flow-directed catheter.
    c. The recording of intracardiac and intravascular pressures.
    d. Obtaining blood samples.
    e. The use of data obtained from measurements of the catheter.

  4. #4
    Default RHC with Swanz Cath
    I bill this way

    93503 ( I do not use a modifier on this code )

    Normal reimbursement 487.59 from insurance
    Normal coinsurance 96.08 from patient

    I hope this helps.

  5. Default
    Hi this is Carolyn McLaughlin with The B'CPC(The Baltimore chapter of Professional Coders) in answer to your question, per the 2008 Ingenix Facility Guide for Interventional Radiology, page 143 #6 it says(quote=Report separately the placement of a flow directed catheter (swan ganz) for the purpose of hemodynamic monitoring when performed during cardiac catheterization)

    there have been so many changes in 2008 for coding cardiac procedures, as of 2008 Medicare pays about $400.00 for the placement of the swan ganz during outpatient cardiac caths. You can reach me via our website (

    Good Luck

  6. Default Legal documentation for heath catherization
    Hi Carolyn,

    I have sat in serveral cardlology coding seminars and I remember the question being asked if the report that the cath systems uses is considered not a legal documnet. I have to find in writing to plead my case w/physician. Can you help me?

    Carol Latkovic, CPC
    University Hospitals

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