Cardiology Question for the Week of April 4, 2016

Cardiology Compliance Question of the Week


Is there a specific time frame that allows separate coding for a new coronary angiogram prior to a coronary intervention when there has been a previous angiogram?


There is no time frame specified. As noted in the CPT manual, when a previous coronary angiogram has been performed, you can report a second exam if the physician documents that the patient’s condition has changed since the previous exam, or if the previous exam does not provide adequate visualization of the anatomy or pathology. A new exam also may be reported when there is a clinical change during the procedure that requires a new evaluation outside the intervention area.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.