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  #1  
Old 08-20-2009, 12:35 PM
jaud63 jaud63 is offline
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Question Left Hrt Cath with LV Gram

How would one code this procedure? The primary code is 93510 with a secondary of 93571. Are there other codes that can be used?

Left Heart Cath, Left ventriculography, Pressure wire, Coronary Angiogram, ACT

Indications: Chest Pain

Conclusions:
Procedure Summary: Visually estimated LV ejection fraction is 50%, mild global LV hypokinesis, prime wire used to assess the diagnonal branch of the LAD. This showed an FFR of .93 afte adenosine, consistent with no significant obstruction. mild, non-obstructive coronary disease.

Angiographic findings: LMCA: Normal, LAD: Moderate disease, LCx: Minimal disease, RCA: minimal disease

Diagnostic Cath Status: Elective

Entry Locations; Retrograde Percutaneous access was performed through the right femoral artery. A 6 Fr sheath was inserted.

Procedure Medications; Bivalirudin (angiomax) IV Bolus 10.5 ml, Bivalirudin Drip (Angionmax drip) 24.5 ml, Adenosine IC 42, Adenosine IC 50

Catheters Guide; Metronic 6.0 FR JL 4.0 (Lt Coronary Angiography), Medtronic 6.0 FR JR 4.0 (Rt Coronary Angiography), Medtronic 6.0 FR Pegtail angled (Lt ventriculography), Right side medtronic G-8 GR EBU 3.5 (Lt coronary angiography)

Contrast Material: Vispaque 140 ml

Fluoroscopy time: 4.00 min

IABP: not used

VA - LV function assessed as normal

Ejection Fraction- method EF% estimated 50

Hemodynamics condition: rest estimated 195.66 Heart Rate: 58 bpm

Pressure: AO (175/71(112)), LV (161/-1,5), LV (152/-2.7), LV (182/0,10), LV (170/-4,8), LV (166/-5,7), AO (166/65 (108))

Valve gradients and areas
Valve - aortic peak (-3), mean (12), aortic peak (-3), mean 12)

O2 values - 02 capacity 180.88, 02 consumption 195.66
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  #2  
Old 08-20-2009, 04:00 PM
lcterry lcterry is offline
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93545, 93543, 93556-26, 93555-26
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Old 08-25-2009, 01:16 PM
jaud63 jaud63 is offline
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Default Left Heart Cath

Thanks a million for your information. Can I use you as a reference for coding additional procedures for Cardiology? I am new at this specialty.
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Old 08-25-2009, 02:08 PM
lcterry lcterry is offline
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Yes, you can use me as a reference for further coding questions.
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Old 01-28-2011, 08:18 AM
heidi3 heidi3 is offline
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Default Cardiac cath

I have a question about coding a cath as well.
a coronary angiogram and left ventriculogram
left femoral artery was cannulated w/ 5 french sheath.
left coronary system was engaged w/ 5 french jl4 cath.
right coronary was engaged w/ dr3 cath
lv gram was performed w/ angled pigtail cath.
all caths and sheaths were removed


how would you code this.
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Old 01-28-2011, 08:41 AM
Jess1125 Jess1125 is offline
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93458-26

Jessica CPC, CCC
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Old 01-28-2011, 10:27 AM
Jim Pawloski Jim Pawloski is offline
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Quote:
Originally Posted by lcterry View Post
93545, 93543, 93556-26, 93555-26
I don't know if you know, but these codes are expired. The codes for this case should be 93458, 93471.

Jim
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