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Code: G0278

  1. #1
    Location
    Farmer Branch, TX
    Posts
    109
    Default Code: G0278
    Medical Coding Books
    I am getting alot of denials for this code (G0278). The denial is primary procedure must be billed with this code. Could someone let me know what is the primary procedure code to (G0278).

    Thanks
    MARSCHAND K. MARTIN

  2. Default
    Quote Originally Posted by marty3073 View Post
    I am getting alot of denials for this code (G0278). The denial is primary procedure must be billed with this code. Could someone let me know what is the primary procedure code to (G0278).

    Thanks

    heart cath
    Theresa CCS-P CPMA CCC ICDCT-CM

  3. #3
    Location
    Farmer Branch, TX
    Posts
    109
    Default Code G0278
    Since the heart cath code is the primary code, will code 93454 be the primary code for code G0278?

    Thanks
    MARSCHAND K. MARTIN

  4. #4
    Location
    Phoenix, AZ
    Posts
    620
    Default
    93454 is a coronary angiogram and yes can be prime to G0278. However, it depends on the provider's documentation and medical necessity.

    The answers you are receiving are vague because you haven't posted a report for more specific answers.
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  5. #5
    Location
    Farmer Branch, TX
    Posts
    109
    Default Code: G0278
    Here's the report:

    Procedure Description

    The patient was prepped and draped in the usual sterile fashion. Under Lidocaine 2% local anesthesia a 5F sheath was placed in the right femoral artery and a 7F sheath was placed in the right femoral vein using the modified Seldinger technique. A 7F balloon-tipped catheter was advanced through the right heart chambers and into the pulmonary artery wedge position. Hemodynamic measurements were made and cardiac output was calculated using the thermodilution method. A 5 F Judkins left number 5 catheter was used to engage the left coronary artery and a 5 F Judkins right number 4 catheter was used to engage the right coronary artery. Right and left coronary angiography was performed in multiple views by hand injections of Optiray 320. A 5F pigtail catheter was used to perform a distal aortogram using power injection of Optiray 320. Following the procedure, the sheaths were sutured into place. There were no immediate complications.
    MARSCHAND K. MARTIN

  6. Default
    Quote Originally Posted by marty3073 View Post
    Here's the report:

    Procedure Description

    The patient was prepped and draped in the usual sterile fashion. Under Lidocaine 2% local anesthesia a 5F sheath was placed in the right femoral artery and a 7F sheath was placed in the right femoral vein using the modified Seldinger technique. A 7F balloon-tipped catheter was advanced through the right heart chambers and into the pulmonary artery wedge position. Hemodynamic measurements were made and cardiac output was calculated using the thermodilution method. A 5 F Judkins left number 5 catheter was used to engage the left coronary artery and a 5 F Judkins right number 4 catheter was used to engage the right coronary artery. Right and left coronary angiography was performed in multiple views by hand injections of Optiray 320. A 5F pigtail catheter was used to perform a distal aortogram using power injection of Optiray 320. Following the procedure, the sheaths were sutured into place. There were no immediate complications.
    Marty,
    this looks like a R & L heart cath with distal aorta angiogram. I hope there is a final impression which should tell what the aortagram showed and also what the cath showed too.

    93460-26
    G0278
    Theresa CCS-P CPMA CCC ICDCT-CM

  7. #7
    Location
    Farmer Branch, TX
    Posts
    109
    Default
    Quote Originally Posted by theresa.dix@ethc.com View Post
    Marty,
    this looks like a R & L heart cath with distal aorta angiogram. I hope there is a final impression which should tell what the aortagram showed and also what the cath showed too.

    93460-26
    G0278
    Thanks
    MARSCHAND K. MARTIN

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