Prahlad Posted Fri 15th of November, 2019 06:33:18 AM
1. Left Heart Catheterization with left Ventriculography.
2. Selective Coronary Angiogram
3. PTCA and Stent placement to left Circumflex Coronary. Procedure was Complicated by
acute Vessel Closure, Probable intramural hematoma and acute closure.
4. Placement of femoral arterial 5- french sheath and a transvenous pacemaker via the
right common femoral vein .
Prahlad Posted Fri 15th of November, 2019 06:34:58 AM
SuperCoder Answered Mon 18th of November, 2019 10:22:35 AM
Thanks for your question. Our team is working on this and will get back to you soon.
SuperCoder Answered Tue 19th of November, 2019 06:37:02 AM
Thanks for your question.
As per the provided documentation code 93458-59 and 92928-LC should be billed.
If a temporary pacemaker is placed as pre-caution/prevention/prophylactic measures and per Medicare guidelines: prophylactic insertion of a temporary transvenous pacemaker (33210-33211), repositioning or replacement of catheters and administration of medications during the procedure are included in the procedure and are not separately reportable.
Hope this helps.