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RHC/LHC and Adenosine infusion

Carl Posted Wed 10th of February, 2016 15:57:14 PM

SCENARIO 09:
Right heart catherization
Pharmacological protocol with Infusion of Adenosine intravenously.
Left heart catheterization.
Left ventriculography.
Coronary angiography.
Sapheneous vein graft angiography.
Left internal mammary graft angiography.

Patient presents for evaluation of dyspnea on exertion and an abnormal echocardiogram.
Significant pulmonary hypertension is noted.
He had CABG five years ago. He has no CHF.
He underwent elective right heart catheterization with pulmonary pressure, oxygen saturation and cardiac output measurement.
He received infusion of Adenosine intravenously to evaluate effect on the pulmonary vascular resistance, with repeated cardiac output and hemodynamic measurement at the end of the procedure.
He then underwent coronary angiography with left heart catheterization, left ventriculography, coronary angiography, a sapheneous vein graft angiography and left internal mammary angiography.
No intervention needed.

CPT Codes: 93461, 93463
Is this the right CPT Codes sequence?
Any modifiers needed?
Thanks

SuperCoder Answered Fri 12th of February, 2016 07:54:33 AM

Your code selection is appropriate. Thank you.

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