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Thread: Cardiology coding help please

  1. #1
    Join Date
    Apr 2007
    Bentonville, AR

    Default Cardiology coding help please

    AAPC: Back to School
    I am struggling with this procedure. Dr. performs:
    1. Intracardiac echocardiography (ICE)
    2. Deployment of #30 Helex interatrial shunt closure device
    3. Retreval of #30 Helex interatrial shunt closure device

    93662,26 (ICE) and 93580 (PFO)

    The PFO device was "successfully deployed with excellent splay around the aortic rim and good coaptation of the septum. We waited for the device to settle in and during this time we performed an ICE. Approximately 10 to 15 minutes later we re-confirmed position of the #30 Helex device and again it would not stay in place. Used a Cook retrieval forceps to graft the #30 Helex device and removed it from the interatrial septum. There were no complications related o this procedure. No pericardial effusion was seen. The interatrial shunt remained as it appeared prior to any intervention."

    Do I just do a heart cath? Can I code a PFO implant and removal? Any suggestions would be greatly appreciated!

    Thank you,
    Kim Floyd, CPC

  2. #2
    Join Date
    Apr 2007
    Phoenix, AZ


    I bill the PFO closure. The provider did the work. Unfortunately, the outcome was unexpected.
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  3. #3
    Join Date
    Apr 2007
    Bentonville, AR


    I really appreciate your advice! These forums really help.

    Take care,
    Kim Floyd, CPC

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