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Subclavian & LIMA Angiogram with LHC, Native Coronary & Bypass Grafts Angiogram

Oscar Posted Fri 27th of June, 2014 05:49:29 AM

Hi Everyone, Could someone help me on following case example.
My doctor has performed following procedures... on a patient with status post CABG... LIMA to LAD & SVG to RCA.

1)Left Heart Catheterization with Native coronary & grafts angiogram.
2)Subclavian Angiogram.
3)LIMA Angiogram for Bypass graft patency anastomosed to LAD.

Coding:
1)93459
2)36225-Subclavian angiogram wit ipsilateral vertebral circulation RS&I
3)36216+75756 - LIMA
or
just 75756 is enough.
or
Both of these subclaivian and LIMA angiogram included in 93459.

Please clarify the correct coding for above mentioned scenario.

SuperCoder Answered Fri 27th of June, 2014 09:49:57 AM

You should code only 93459 and 36225 because 36216 is component of 36225 and if you see the notation below 75756 S&I of internal mammary is included in 93459.

Thanks

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