This actually was MedLearns Question of the week for Cardiology on Monday. See MedLearn's suggestion below:
January 31, 2011
Historically, we could report IMA imaging with a heart cath whether it was used as a graft or native. With the inception of new codes 93455, 93457, 93459, and 93461, is that still true?
In 2011, the imaging of the IMA is now collapsed into the codes you have listed in the question. There is not a specific code anymore for catheterization and imaging only of the IMA. MedLearn recommends that if only the IMA is imaged (and the coronary arteries are not), code 93455 with modifier 52 should be reported.
Jessica CPC, CCC
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