You can bill the swan ganz as a procedure 93503 separate from the main procedure. Depending on the carrier, you may need to append a 59 modifier to indicate that this is a distinct procedure. The only caution I would give you when billing these is that if your physician also does a CVP line and the swan ganz is inserted in through the same point you can only bill one of them. The swan ganz reimburses higher so we usually go with that one.
As for the reporting of antibiotics administered that is only for medicare, The codes are 4047F (antibiotic ordered) 4048F (antibiotic given w/in 2 hrs of incision) and 4048F-8P (antibiotic not given timely) You can report these to medicare and receive a percentage payment later. We have been directed not to report these codes to Medicare HMO's.
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