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Mary Posted Thu 07th of March, 2013 18:05:42 PM

Can you please help me find the cpt code for the transradial approach for heart caths?

SuperCoder Answered Tue 12th of March, 2013 21:39:51 PM

From Cardiology Coding Alert, vol. 14, no. 11
93458 Applies When Approach is Radial?

Question: If the cardiologist performs a left heart cath by a radial approach, would 93458-26 still be appropriate? Member

Answer: The radial approach will not change your left heart catheterization (LHC) code choice.

If the cardiologist provided the services described by 93458 (Catheter placement in coronary artery[s] for coronary angiography, including intraprocedural injection[s] for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection[s] for left ventriculography, when performed), then you may use that code. Check the other LHC codes to be sure there isn't a better fit.

As you indicate, you should append modifier 26 (Professional component) when the physician provides only the professional component.

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