Medical Coding

Category - Medicine

The physician performed a right and left heart catheterization with a left ventriculography on 58-year-old male patient. During catheterization, the patient participated in a physiologic exercise study in the form of a bicycle ergometry. How should you code for this service?
  1. 93531, 93464
  2. 93451, 93452, 93464
  3. 93453, 93464
  4. 93453
Explanation
Answer: C - The correct codes for this service are 93453 (Combined Right and Left Heart Catheterization including Intraprocedural Injections(s) for Left Ventriculography, Imaging Supervision and Interpretation, when Performed) and 93464 (Physiologic Exercise Study (e.g. Bicycle or Arm Ergometry).Code 93531 is only reported when the combined catheterization is performed for congenital cardiac anomalies and codes 93451 and 93452 are only used for either a right or left heart catheterization.
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