Left Heart Cath and Aortography Medical Coding [ Ссылка ]

Alicia: I have to take myself off mute before I start talking. I'm going to let you guys know Laureen I think worked on this slide, she's the CPT Queen.

Q: So, someone needs help with this procedure that they were given. This came out, and what I'm assuming when I was reading this earlier is that this is a list of what they did. A lot of times in this report, you'll see it listed 1, 2, 3, 4. So they did a left heart catheterization, left and right selective coronary angiography, right iliofemoral angiography, management of conscious sedation, abdominal aortography with visualization of both renal arteries.

Now, it looks like there's tons of stuff going on here. If you were to look at that, I'm sure you're kind of thinking, "Oh my lLord where do I start?" So, what we're going to do. We're going to start with left heart cath (93458) -- oh this is what she did. This is actually what she was thinking. She was going to use 93458 with a modifier-26. But she was confused. "I read the CPT book several times. I went online to find the answer and I had no luck. I'm confused. Does this code include everything that was done or am I missing other codes that this procedure was done? Please help." I think her name is Magda.

A: This is common. You don't think that you're the only one out there that has problems with this. She did everything right. She went to the CPT book. She looked at it. She went online. She did her other resources and she still isn't positive. That's I think something that coders have to remember -- they're really researchers, actually. I've had several people say, "Do we get to use our book?" Yes. You get to use your book for everything because that's what a coder does.

This is the report that the doctor gave her which is actually a duplicate of what was above. So, I'm not going to repeat that. The thing here, complication - none; there is no complication. So, we get to move aside from that. Don't think of that. Estimated blood loss 20 ml... local approach for the right femoral artery... I'm not going to read all of that because we're going to go over it. You guys can access this again later, but this is all the description of what she was reading to come up with her codes.

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