AHA Coding Clinic® for HCPCS - 2017 Quarter 3
Coronary angiographies and cardiac catheterizations
A right heart catheterization is performed with a coronary angiography in the cardiac catheterization lab and the patient is taken to the interventional radiology suite where a pulmonary arteriogram and nitric oxide challenge, is performed through the same access site, is it appropriate to use the add-on CPT code 93568 for the pulmonary angiography with the CPT code for the cardiac catheterization? ...
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Article Overview
This article covers Coding Clinic guidance on cardiac catheterization and coronary angiography reporting in CPT. It reviews the broad categories of catheterization procedures, related angiographic services, and the types of documentation and service-grouping issues coders are expected to consider. It is intended for coding professionals who work with cardiovascular procedures and need to understand how the article frames reporting considerations in this area.
Why This Topic Matters
Cardiovascular procedures often involve multiple related components, and this guidance helps readers understand the overall reporting framework and where coding review is needed. It is relevant for anyone coding catheterization and angiography services in a hospital or physician coding setting.
Article Sections
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Coding and reporting of catheterizations and angiographies
Introduces the overall reporting challenge for catheterization and angiography services and explains that the article focuses on major CPT groupings used for these procedures.
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Right heart catheterization
Describes the broad anatomic areas and procedural components associated with this type of catheterization.
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Left heart catheterization
Summarizes the general structures and procedural elements involved in this type of catheterization.
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Right and left heart catheterization
Notes that this service combines elements of both individual catheterization categories and depends on procedure documentation.
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Coronary angiography
Explains the role of coronary angiography when performed with catheterization and describes the broad diagnostic context discussed in the article.
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Q&A
Presents an example question-and-answer discussion related to catheterization and angiography services performed in more than one setting.
What You Will Learn
- How the article frames the main CPT groupings for cardiac catheterization reporting
- What broad procedure components are discussed as part of right and left heart catheterization
- How the article approaches coronary angiography in the context of catheterization
- Which general service categories are discussed as integral to these procedures
- What type of documentation and coding review concerns are highlighted in the article
Who Should Read This
- Medical coders
- Coding auditors
- Revenue cycle staff
- Cardiology billing specialists
- Hospital outpatient coders
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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