Cardiology Question for the Week of July 4, 2016

Question:

Question:

If we do a computed tomography (CT) for calcium score but also a coronary CT angiography (CTA), can we bill both 75571 and 75574?

Answer:

Answer:

No, you can only report one code from the 75571–75574 series at a time. Codes 75572–75574 include calcium scoring if performed.

75571

CT, heart, without contrast material, with quantitative evaluation of coronary calcium

75572

CT, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)

75573

CT, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of LV cardiac function, RV structure and function and evaluation of venous structures, if performed)

75574

CTA, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)