Results 1 to 3 of 3

Left heart cath with aortograph-help

  1. #1
    Default Left heart cath with aortograph-help
    Exam Training Packages
    The right groin was sterilely prepped and draped. 2% lidocaine was used to infiltrate the right groin. A 6Fr sheath was placed in the right femoral artery using the modified Selginger technique. The aortic valve was crossed and left ventriculography was performed using a 6Fr angled pigtail catheter in a 30 degree RAO view. The pigtail catheter was withdrawn and aortic root injection completed in the LAO projection. Selective coronary angiography was performed using 6Fr JL4 and JR4 diagnostic catheters. All catheters were removed over a guidewire.

    Currently coded as:
    93458
    93567

    Dx:
    411.1
    414.01
    496

    Is this coded properly? We keep getting denials for 93567 (due to DX). Should there be a code from 36215 and/or 75600?

    I'd appreciate any guidance.

  2. #2
    Location
    Birmingham, Alabama
    Posts
    889
    Default
    Quote Originally Posted by barrski View Post
    The right groin was sterilely prepped and draped. 2% lidocaine was used to infiltrate the right groin. A 6Fr sheath was placed in the right femoral artery using the modified Selginger technique. The aortic valve was crossed and left ventriculography was performed using a 6Fr angled pigtail catheter in a 30 degree RAO view. The pigtail catheter was withdrawn and aortic root injection completed in the LAO projection. Selective coronary angiography was performed using 6Fr JL4 and JR4 diagnostic catheters. All catheters were removed over a guidewire.

    Currently coded as:
    93458
    93567

    Dx:
    411.1
    414.01
    496

    Is this coded properly? We keep getting denials for 93567 (due to DX). Should there be a code from 36215 and/or 75600?

    I'd appreciate any guidance.
    The codes look correct to me. You could ask the providing physician to transcribe a letter explaning the need to inject the aortic root, and file an appeal with the letter. I do not think you should code 36215 or 75600 based on the above document.

    HTH
    Danny L. Peoples
    CIRCC,CPC

  3. #3
    Default
    Thank you very much Danny!

Similar Threads

  1. Left Heart Cath - femoral artery
    By Dgiannetto in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 07-09-2015, 10:48 AM
  2. left heart cath-As long as pressures
    By sheri_hall2000@yahoo.com in forum Cardiology
    Replies: 8
    Last Post: 07-26-2012, 10:31 AM
  3. Left Heart Cath - radial approach
    By amym in forum Cardiology
    Replies: 1
    Last Post: 02-07-2012, 02:21 PM
  4. Left heart cath w/ left ventriculogram
    By cardiology101 in forum Cardiology
    Replies: 3
    Last Post: 06-28-2011, 11:28 PM
  5. left heart cath - Documention states
    By Theresa Yeager in forum Cardiology
    Replies: 2
    Last Post: 02-21-2010, 05:00 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.