Patient had a heart catheterization (cath)/coronary angiogram. The physician could not clearly image the circumflex. The patient was then sent to surgery for bypass. A few days later the patient was brought back for a heart catheterization, stent and angioplasty of the left main, circumflex, and obtuse marginal x 2. Can we code the heart catheterization again?
Yes, you may code the procedure again because the patient’s condition and anatomy changed as a result of the bypass and because there was limited visualization of the circumflex in the previous exam. The physician should document this in his report.