Cardiology Question for the Week of September 28, 2015

Cardiology Compliance Question of the Week

Question:

One of our cardiologists performed a right and left heart catheterization without ventriculography, with coronary arteriograms. During the study, dobutamine was intravenously infused with multiple hemodynamic measurements taken at three separate times. What code or codes would be reported?

Answer:

The following code represents right and left heart catheterization with ventriculography when performed with coronary angiography.

93460 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed

As indicated in the descriptor below, code 93463 is an add-on code and is reported for the infusion of a pharmacologic agent including hemodynamic measurements. You can only report this code once for the encounter.

93463 Pharmacologic agent administration (e.g., inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed (List separately in addition to code for primary procedure)

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