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Multiple procedures in same case

Carl Posted Wed 27th of January, 2016 03:22:43 AM

I21.19
Patient presents for with acute chest pain and EKG changes consistent with an acute inferior STEMI.
He has bradycardia. No prior cardiac history. He has no CHF.
He underwent emergent coronary angiography with temporary intravenous pacemaker wire placement, left heart catheterization and coronary angiography.
Left ventricular pressure was obtained but left ventriculography was not done.
An intra-aortic balloon pump IABP was positioned.
Significant atherosclerosis and thrombosis of the RCA was noted with infarct related occlusion.
He underwent mechanical thrombectomy with AngioJet catheter followed with acute recanalization of the RCA with coronary angioplasty and drug eluting stent in the RCA.
Right heart catheterization with a Swan-Ganz catheter placement was done, along with pulmonary pressures and cardiac output measurement.
The Swan-Ganz pulmonary catheter was sutured in place for future use.

CPT: 92941.RC, 93460.26.XU, 33967, 33210, 93503

Are the CPT codes correct?

SuperCoder Answered Thu 28th of January, 2016 09:08:58 AM

Thanks for the Query

I would suggest Cpt 33967, 92941,93460-XU, 93503-XS as per the scenario. Cpt 33210 should be removed as Code 93460, 33967 and 92941(column 1) has a CCI conflict with code 33210(column 2). A modifier is not allowed to override this relationship and add modifier 59 or XS, XU with 93460 and 93503 as per the documentation to un bundle the CCI edit.

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