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Left Heart Catheterization, Coronary Angiogram with grafts & Subclavian Angio

Oscar Posted Wed 03rd of June, 2015 04:49:52 AM

Please provide the CPT coding for following procedures.

1. Left heart catheterization.
2. LV angiogram.
3. Selective coronary angiogram.
4. Angiogram of saphenous vein grafts.
5. Angiogram of the left internal mammary artery.
6. Angiogram of the left subclavian artery.
7. Angiogram of the right subclavian artery.
8. Aortogram.

Per my knowledge 93459 is appropriate, but should we report 36225-50? to compensate subclavian angiograms. Please suggest.

SuperCoder Answered Thu 04th of June, 2015 02:16:41 AM

Yes, you can report 36225 with 50 modifier for bilateral subclavian angiography performed along with heart catheterization.

Oscar Posted Thu 04th of June, 2015 02:44:12 AM

But, here we don't have angiography of the ipsilateral vertebral circulation. That's why I am concerning to report 36225 in these type of cases. Following is the full description of 36225, so is it appropriate?

Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed

SuperCoder Answered Fri 05th of June, 2015 03:08:48 AM

Add 52 modifier for reduced services (for not performing part of the procedure i.e angiography of the ipsilateral vertebral circulation.

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