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LT ventriculography injection code

Lynn Posted Wed 27th of July, 2011 10:08:51 AM

In the 2010 Cardiology Survival Guide, Chapter 5, this section specifically: "Caution: You won't report the injection code you typically use for left ventrculography (93545)..." Is this correct? I have been using '93543' for my 2010 OP reports.

SuperCoder Answered Wed 27th of July, 2011 19:21:42 PM

I have forwarded your query to our Editor and will reply ASAP.

SuperCoder Answered Thu 28th of July, 2011 03:05:40 AM

Hi, Lynn: Thanks so much for posting this question. I took a look at the paragraph you mentioned, and it appears to have an error in mentioning 93545. CPT Assistant (Dec. 2007) indicates that for a right heart cath with selective coronary artery imaging, codes 93508, 93545, and 93556 all could have been reported. Plus, CPT 2010 guidelines stated that 93539, 93540, 93544, and 93545 could have been reported in addition to 93508 (with 93556 for S&I). Regarding use of 93543/93555, experts indicate that for an LV gram to be performed, a left heart cath (LHC) must have been performed. Code 93508 was only appropriate when the LHC was not performed.

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