tci Part B Insider - 2013 Issue 36

Reader Question: 93458 Requires Coronary Angiography

Question: My doctor performed LHC, aortic root arteriography with runoff, and a bilateral renal arteriogram. Should I code 93458-26, 93567, 36252-59, and 75724-26-59? Or should I bill 93458-26, 93567, and G0275-59? Answer: To choose the final codes, you’ll need to take a careful look at the medical necessity and intent of the arteriography. You also need to look at catheter placement and whether coronary imaging was performed. LHC: Assuming the physician performed coronary angiography and left heart catheterization (LHC), then apply 93458-26 (Catheter placement in coronary artery[s] for coronary angiography, including intraprocedural injection[s] for coronary angiography, imaging supervision...

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