AHA Coding Clinic® for HCPCS - 2003 Issue 2

ASK the EDITOR

When inserting a left ventricular lead into the coronary sinus vein, it may be necessary to perform a coronary venotomy. My thoughts are that the venotomy would be included as the approach since the coronary sinus vein has to be cannulated to insert the lead anyway. Often times the coronary sinus vein is entered via the natural ostia as opposed to doing an actual incision into the vein itself. Would it be appropriate to report code (36005) separately for a coronary venography or would this be considered an integral part of the procedure? ...

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