Tag Archives: 93508
93451-93464 Will Bulk Up Your Cardiac Cath Coding Options in the New Year
Posted on 16. Nov, 2010 by jennifer.godreau.
Revascularization, heart catheterization, and more all have new looks in CPT 2011. Here’s an overview of what you can expect.
• 37220-37235: Endovascular revascularization, open or percutaneous
The codes in this range are distinguished by the vessels involved: iliac, femoral/popliteal, and tibial/peroneal. Other distinguishing features include whether the physician performs angioplasty, stent placement, and/or atherectomy. For example, the definition of 37231 will be
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2 New 2010 CPT Codes for High-Tech Cardiology Services
Posted on 08. Nov, 2009 by sanjay.aikat.
Steer clear of Cat. I codes for intravascular spectroscopy — here’s where to look instead.
The CPT update season is fast approaching. Warm up for the changes coming your way with a look at new-for-2010 Category III codes aimed at diagnosing coronary artery disease.
Match 0206T to MCG
One of the new Category III codes with a Jan. 1 implementation date is 0206T (Algorithmic analysis, remote, of electrocardiographic-derived data with computer probability assessment, including report), which is appropriate for Premier Heart’s Multifunction CardioGram (MCG).
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Heart Cath Coding Education That Stops Denials
Posted on 31. Aug, 2009 by .
1 simple ‘cross the aorta’ rule keeps 93510 denials at bay.
Matching “left heart catheterization” to 93510 (Left heart catheterization …) may seem like an easy day’s work. But not so fast. The cardiologist must meet and document a crucial left ventricle requirement for you to choose this code. Work your way through this case study to see if 93510 belongs on the claim.
Test Yourself With Facility-Based Example
Get started: Assume that the sample case below took place in a facility that will report the technical component, and you are reporting only the professional component.
Remember to append modifier 26 (Professional component) to codes that have a professional and technical component, says Heather R. Stecker, CPC, ACS-CA, compliance director and reimbursement manager for Cardiology Consultants of Philadelphia. That way the payer knows you are asking for reimbursement of physician services only.
Procedure: Left heart catheterization, bilateral selective coronary arteriography, radiological interpretation.
Indication: Equivocal stress echocardiogram for ischemia with development of chest pain on the treadmill, and equivocal lateral wall ischemia being noted.
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Where Anesthesia Coders Go Wrong With CS Cath Placement
Posted on 16. Jun, 2009 by .
Your doc needs to do this to get paid on more than CS cath placement.
Quick — look up the CPT code for coronary sinus (CS) catheter placement used during cardiac surgery. No luck? Then an unlisted code reporting is in your future. Coding News is here to bust 3 myths that may fool you into selecting the wrong anesthesia code for this procedure:
Myth 1: Code 93508 Applies to CS Cath
Fact: Code 93508 (Catheter placement in coronary artery[s], arterial coronary conduit[s], and/or venous coronary bypass graft[s] for coronary angiography without concomitant left heart catheterization) does not apply to coronary sinus catheter placement, even if you append modifier 52 (Reduced services). In addition, the 936xx range of codes (those for EP studies) are inappropriate. Instead, an unlisted code is your best choice.
Anesthesiologists insert coronary sinus catheters for minimally invasive heart valve surgery, says Farhan Sheikh, MD, professor of anesthesiology and director of cardiac anesthesia at Albany Medical Center. “The coronary sinus is inserted with a catheter to deliver retrograde cardioplegia solution with TEE guidance, not for monitoring or angiography purposes.”
Coronary sinus pressure is monitored when the retrograde cardioplegia solution is being injected into it, but not for any other reason. Although many centers still perform the procedure, there are now less invasive means to accomplish the same patient safety goals.
Myth 2: Cath Intro Is Way to Go
An ASA teleconference in Nov. of 2008 recommended 36013 (Introduction of catheter, right heart or main pulmonary artery) for this CS cath placement. Joanne Mehmert, CPC, an independent consultant from Kansas City, Mo., disagrees, saying that currently, no…
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