Heart, Aorta and Arteries
This term means entering the body
What is Invasive
The term that describes the study of the electrical system of the heart and includes the study of arrhythmias?
What is:
Electrophysiology
Modifier -51 can be added to all codes in the Cardiac Catheterization subheading.
True or False?
What is:
FALSE (Some codes are modifier -51 exempt)
A cardiologist is a(n) _______ medicine physician who has chosen to specialize in the diagnosis and treatment of conditions of the heart.
Type of cardiology enters the body—breaks the skin—to make a correction or for examination?
What is:
Interventional Cardiology
Code a selective catheter placement in the first-order brachiocephalic artery (also known as the innominate artery) from the right common femoral artery access point, with ipsilateral vertebral circulation angiography, including contrast done at the clinic catheterization laboratory.
What is:
Injection procedure for angiography (36225) (Angiography, Innominate Artery), Contrast material 99070 (Supply, Materials)
A new patient with a chief complaint of sharp, intermittent retrosternal pain that is reduced by sitting up or leaning forward is evaluated by a cardiologist. Chest films reveal acute pulmonary edema with acute pericardial effusion. The physician performs a pericardiocentesis.
What is:
33016 (Pericardiocentesis); J81.0 (Edema, lung, acute), I30.0 (Pericarditis, acute, nonspecific)
Right heart catheterization was performed by means of the introduction of a cardiac catheter into the venous system, with further manipulation into the right atrium, including injection into the right atrium of contrast material, multiple measurements, and sampling; image supervision was provided by the physician.
What is:
93451-26 (Cardiac, Catheterization, Right Heart)
A physician provides CPR to a patient in cardiac arrest.
What is:
92950 (CPR [Cardiopulmonary Resuscitation])
Thrombectomy of venous bypass graft, postop complication, initial visit
What is:
35875 (Thrombectomy, Bypass Graft, Other than Hemodialysis Graft or Fistula); T82.867A (Complication[s], graft, vascular, thrombosis)
Bilateral angiography of the arteries of the legs, with radiological supervision and interpretation (Professional Component ONLY)
What is:
75716-26 (Angiography, Leg Artery)
Resection of an endocardium primary malignant tumor in which cardiopulmonary bypass is required
What is:
33120 (Tumor, Heart, Excision); C38.0 (Table of Neoplasms, Neoplasm, heart, Primary)
Bundled into the cardiac catheterization codes are the positioning and repositioning of the catheter(s).
True or False?
What is:
TRUE
Cardiovascular stress test performed in the physician’s office, using submaximal bicycle exercise with continuous ECG; physician was in attendance for supervision and provided the interpretation and report.
What is:
93015 (Stress Tests, Cardiovascular)
Bypass graft, using Gore-Tex; axillary-axillary
What is:
35650 (Bypass Graft, Venous, Axillary-Axillary)
CT scan of the heart performed for evaluation of cardiac structure and morphology, which included assessment of the cardiac function and evaluation of the venous structures, with contrast material (professional component only)
What is:
75572-26 (CT scan, heart, evaluation, for structure and morphology)
Bundle of His recording (professional component only)
What is:
93600-26 (Electrophysiology Procedure)
Left heart catheterization of left ventricle was performed, with cutdown entry into the brachiocephalic artery, and contrast medium was injected for left ventricular angiography, including supervision, interpretation, and report. Diagnosis of coronary artery disease, native and unstable angina.
What is:
93458 (Cardiac, Catheterization, Left Heart, with Ventriculography) ; I25.110 (Arteriosclerosis, coronary [artery],native vessel, with angina pectoris, unstable)
Percutaneous transluminal coronary balloon angioplasty of the right coronary artery and two vessels of the left anterior descending.
What is:
92920-RC, 92920-LD (Angioplasty, Percutaneous Transluminal, Coronary)
Excision, with application of a patch graft, for an aneurysm, common femoral artery
What is:
35141 (Aneurysm Repair, Femoral Artery); I72.4 (Aneurysm, femoral [artery])
Complete cardiac MRI for morphology and function without contrast followed by contrast along with four additional sequences and stress imaging.
Diagnosis of congestive heart failure and premature ventricular contractions.
What is:
75563-26 (Magnetic Resonance Imaging [MRI], heart); I50.9 (Failure, heart, congestive), I49.3 (Premature, contraction, ventricular)
Comprehensive electrophysiologic evaluation was performed, including recording and pacing of the right atrium and right ventricle. Three electrodes were repositioned. Left ventricular recordings were also made with pacing and induction of arrhythmia.
Diagnosis = vasovagal syncope.
What is:
93620-26, 93622-26 (Electrophysiology)
R55 (syncope, vasovagal)
Indicator dilution studies when done with a cardiac catheterization are to be billed separately.
True or False?
What is:
FALSE (they are already bundled into the codes)
SAECG (Signal-Averaged Electrocardiogram) with ECG (electrocardiogram), interpretation and report only.
Diagnosis of unsustained ventricular tachycardia
What is:
93287-26 (Electrocardiography, Signal-Averaged); I47.20 (Electrocardiography, Signal-Averaged)
From a right femoral artery approach, the catheter is placed in the abdominal aorta and is then threaded into the left external iliac artery where contrast material is injected and angiography is done. The surgeon then pulls back the catheter into the right external iliac where contrast is injected and angiography is completed. The catheter is withdrawn.
The patient was diagnosed as having peripheral vascular disease.
What is:
36246-LT, 36246-RT (Catheterization, Legs), 75716-26 (Angiography, Leg Artery); I73.9 (Disease, peripheral, vascular NOS)