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Temporary Pacemaker and Left Heart Cath Same Day

Kimberly Posted Thu 09th of April, 2015 12:20:30 PM

Not sure how to bill or what to bill first
1 Placement of temporary pacemaker in RV apex
2 Left Heart Catheterization
3 Coronary Angiography
4 Mechanical thrombectomy of mid distal RCA
5 Stenting of distal and mid RCA

Patient Expired temporary pacemaker was done first just not sure if it will be paid or what code/modifiers to use

THANK YOU

SuperCoder Answered Fri 10th of April, 2015 06:43:11 AM

CPTs are 92924 & 93458, however append 59 modifier with CPT 93458 as it is considered included in CPT 92924. Also, billing of CPT 93458 is allowed if a diagnostic angiography or right heart catheterization is required or the patient’s clinical condition has changed so that a new diagnostic study is warranted. Finally, billing for insertion of temporary pacing electrode (33210) is not allowed with these 2 procedures.
As far as patient’s death is concerned, if the doctor completed the procedures, you can bill them.

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