Cardiology Question for the Week of July 17, 2017

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Question:

Can we bill the following code more than once for each additional linear ablation performed, or is there a limit to once per session?

93657 Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in addition to code for primary procedure).

Cardiology Question for the Week of June 26, 2017

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Question:

I have a question concerning billing of the cardiac stress test. We perform the nuclear stress test in our nuclear medicine department. A cardiologist supervises the stress exam when the patient is on the treadmill. The cardiologist reads the ECG but not the nuclear images, and the nuclear medicine physicians read the nuclear images.

The nuclear medicine department bills CPT codes 78452, 93017 and A9500. Should the cardiologist be billing codes 93016 and 93018 for the supervision of the stress test and ECG read?

Cardiology Question for the Week of May 22, 2017

Posted on Posted in Cardiology, Question of the Week

Question:

When it is billed, does For LUMASON® (sulfur hexafluoride lipid-type A microsphere) for injectable suspension, for intravenous use or intravesical use need a separate diagnosis, or is it covered under the primary reason the echo was ordered? Previously (ICD- 9) we used 794.39 (abnormal result of other cardiovascular function study) to bill for any enhancer used during an echo. Should we still be doing this with the new ICD-10 code R94.39 (abnormal result of other cardiovascular function study)?