BC Advantage - 2026 Issue 5

Angiography and Cardiac Catheterization Coding

This article discusses CPT, ICD-10-CM, and HCPCS coding with rationales and CPC exam tips.   Quick Summary   Cardiac catheterization coding requires careful review of the operative report to determine whether the provider performed left heart catheterization, right heart catheterization, coronary angiography, ventriculography, or interventional services. In this case, the physician performed a combined right and left heart catheterization with bilateral selective coronary angiography and left ventriculography. Therefore, the correct CPT code assignment is based on the bundled cardiac catheterization code family rather than assigning separate codes for each component.   Additionally, coders must understand when left ventriculography is...

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