AHA Coding Clinic® for HCPCS - 2013 Quarter 4; ASK THE EDITOR
Suprarenal and infrarenal abdominal aortography with iliofemoral runoff
A patient presented to the catheterization lab for a suprarenal and infrarenal abdominal aortography with iliofemoral runoff. The catheter was placed in the suprarenal abdominal aorta and the aortography was performed. The catheter was then pulled downward to the lower abdominal aorta and an infrarenal aortography was performed with iliofemoral runoff. During the procedure a flow wire was passed, followed by catheters into the left common iliac artery and into the left femoral artery where nitroglycerin was administered to measure the blood flow velocity or fractional flow reserve. Since the fractional flow reserve (FFR) measurement was not performed on a coronary artery (CPT code 93571 ) what would be the correct code assignment in this case for the FFR performed on non-coronary arteries? ...
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Article Overview
This premium article addresses a catheterization-lab coding scenario involving suprarenal and infrarenal abdominal aortography with iliofemoral runoff, along with a non-coronary physiologic measurement performed in peripheral arteries. It is relevant to coding professionals working with cardiovascular procedures, vascular imaging, and procedure reporting questions. The article focuses on how the service is framed in relation to CPT coding and unlisted cardiovascular services.
Why This Topic Matters
Accurate reporting of vascular catheterization, imaging, and related physiologic measurements depends on distinguishing coronary from non-coronary services and understanding when unlisted cardiovascular reporting is discussed. This topic is important for coders and billers who handle interventional and diagnostic cardiovascular procedures.
What You Will Learn
- How the article frames abdominal aortography with runoff in a catheterization-lab context.
- How the article discusses a non-coronary physiologic measurement service.
- How the article positions the scenario within CPT-based cardiovascular coding.
- The general type of coding issue raised by the procedure combination.
Who Should Read This
- Medical coders
- Coding auditors
- Cardiovascular billing staff
- Revenue cycle professionals
- Clinical documentation specialists
Codes Discussed
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