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New Cath Codes

  1. #1
    Location
    Barren River Kentucky Chapter
    Posts
    34
    Default New Cath Codes
    Medical Coding Books
    My office used these codes previously

    36140-59
    93510-26
    93543
    93545
    93555-26
    93556-26
    92980 - if stent

    I believe that the new codes to cover these would be

    36140-59
    93452-26
    93454-26
    92980

    Can someone please let me know if this is correct, definitely confused with all the new bundles.

  2. #2
    Default
    Stent code if done remains 92980.

    Left heart cath 93510-26, 93545, 93556-26, 93543, and 93555-26 will now be billed as 93458-26 in 2011.

    Why are you billing 36140-59?

    Jessica CPC, CCC

  3. #3
    Location
    Barren River Kentucky Chapter
    Posts
    34
    Default
    We used that one as the access to the artery to do the cath, although that was established before I joined the group and was never really sure about it. so all those codes are combined into one code now?

  4. #4
    Default
    Yes, components of a diagnostic cath are all bundled into 1 code now.

    You can't be reporting the 36140 for accessing the artery, though. That's part of the procedure. Please see Medicare CCI edits:

    13. Cardiac catheterization and percutaneous coronary artery interventional procedures such as angioplasty, atherectomy, or stenting include insertion of a needle and/or catheter, infusion, fluoroscopy and ECG rhythm strips (e.g., CPT codes 36000, 36120, 36140, 36160, 36200-36248, 36410, 96360-96376, 71034, 76000-76001, 93040-93042). All these services are components of a cardiac catheterization or percutaneous coronary artery interventional procedure and are not separately reportable.

    Jessica CPC, CCC

  5. #5
    Location
    Barren River Kentucky Chapter
    Posts
    34
    Default
    Ok thank you very much I really appreciate it

  6. #6
    Default
    93458 replaces all five of the codes that previously would be billed for a LHC w coronaries and LV.
    You would only bill 93452 if it was a LHC with or without LV and 93454 would be the coronaries only. Do not bill both codes for the LHC, but 93458 instead.

  7. Question Confused!
    I have a question about the new cath codes...if I am reporting something from 2010 would I use the old codes now or go ahead with the new codes since they are already in affect...this may be a dumb question but I just want to make sure I am doing everything correctly!!

  8. #8
    Default
    If you're reporting something from 2010 you will use the 2010 codes.

    Jessica CPC, CCC

  9. Default what about codes 93565 & 93566
    Okay... I understand we would bill 93451-26 for the Right cath.. this includes the placement, the imaging, and injection and there would not be any other codes to bill with it now? i am having a hard time wrapping my brain around going from 5 codes to 1!

    thanks in advanced for clarification!

  10. Default
    also when would it be appropriate to bill 93566 and 93568? This is only for right caths... what about left caths and Rt & LT caths?

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