A patient diagnosed with mitral valve stenosis underwent percutaneous balloon valvuloplasty, right and left heart catheterization (pressure measurements, oximetry sampling, and cardiac output assessment), and left ventriculogram using low osmolar contrast. We reported a code for the balloon valvuloplasty. Would it be appropriate to apply the multiple procedure guideline B3.2c and assign separate codes for the right and left heart catheterization as well as the left ventriculogram?
During the same operative episode, multiple procedures are coded if multiple root operations with distinct objectives are performed on the same body part. While balloon valvuloplasty was done to treat the mitral stenosis, the left and right cardiac catheterization was combined with ventriculography to obtain pressure, oximetry sampling, and cardiac output assessment, which is to diagnose and assess the severity of cardiovascular disease, and therefore has a distinct objective from the valvuloplasty. In addition to reporting a code for the balloon valvuloplasty, assign the following codes:
4A023N8 Measurement of cardiac sampling and pressure, bilateral, percutaneous approach, for the right and left heart catheterization