Peripheral and Cardiology Coder 2018
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1 Peripheral and Cardiology Coder 2018 Cardiovascular Services and Procedures Prepared and Published By: MedLearn Publishing A Division of MedLearn Media, Inc. 445 Minnesota Street, Suite 514 St. Paul, MN
2 Introduction...1 Moderate (Conscious) Sedation...9 Cardiac Catheterization Right Heart Catheterization Right Heart Catheterization with Coronary Angiography Right Heart Catheterization with Coronary and Bypass Graft Angiography (including SVG and IMA) Left Heart Catheterization Left Heart Catheterization With or Without Left Ventriculogram Left Heart Catheterization With or Without Left Ventriculography and Coronary Angiography Left Heart Catheterization With or Without Left Ventriculography, Coronary Angiography and Bypass Graft Angiography (Including SVG and/or IMA) Right and Left Heart Catheterization Right and Left Heart Catheterization With or Without Left Ventriculography Right and Left Heart Catheterization With or Without Left Ventriculography and Coronary Angiography Right and Left Heart Catheterization With or Without Left Ventriculography, Coronary Angiography and Bypass (Including SVG and/or IMA) Angiography Congenital Heart Catheterization Coronary and/or Bypass Graft Angiography (including SVG and/or IMA) Performed Without Concomitant Left Heart Catheterization Procedure Coronary and Bypass Graft (including SVG and/or IMA) Angiography Without Concomitant Left Heart Catheterization Injection Procedures for Congenital Cardiac Catheterization Coronary Angiography When Performed With Congenital Cardiac Catheterization Bypass Graft Angiography (Including SVG, IMA and radial) With Congenital Cardiac Catheterization Left Ventricular or Left Atrial Angiography Performed with Congenital Cardiac Catheterization Injection Procedures for Cardiac Catheterization Right Ventricular or Right Atrial Angiography Performed with Cardiac Catheterization Supravalvular Aortography (Aortic Root Injection) Performed with Cardiac Catheterization iii
3 Pulmonary Angiography Performed with Cardiac Catheterization Swan-Ganz Placement Left Heart Catheterization by Transseptal or Transapical Puncture Pharmacologic Agent Administration Physiologic Exercise Study...30 Intravascular Doppler Flow Reserve Measurement Renal Artery Angiography (Non-Selective) During Cardiac Catheterization Iliac and/or Femoral Artery Angiography (Non-Selective) During Cardiac Catheterization Vascular Closure Devices Low Osmolar Contrast Media/Non-Ionic Contrast Ambulatory Blood Pressure Monitoring Cardiopulmonary Resuscitation Cardiac Catheterization Procedures and Codes Coronary Interventions: Stenting, Angioplasty and Atherectomy of Major Coronary Arteries, Coronary Artery Branches and Bypass Grafts Coronary Interventions Percutaneous Transluminal Coronary Angioplasty Percutaneous Transluminal Coronary Atherectomy Intracoronary Stent Placement (Bare Metal or Drug-Eluting) Combination (Multiple Interventions) Codes Interventions Within Bypass Graft or Through Graft Interventions for Acute Total/Subtotal Occlusion During Myocardial Infarction (MI) Interventions for Chronic Total Occlusion (CTO) Modifier Assignment Coding Examples...51 Valvuloplasty Pulmonary Artery Angioplasty T-Wave Alternans Aortic Valves Cardiopulmonary Bypass Support Intra-Aortic Balloon Assist/Intra-Aortic Balloon Pump (IABP) Transcatheter Mitral Valve Repair Coronary Thrombectomy and Intravascular Brachytherapy Endoluminal Imaging of Intracoronary Vessel or Graft Repair of Septal Defect iv
4 Repair of Structural Heart Defect (Transcatheter Closure of Paravalvular Leak) Intravascular Catheter-Based Coronary Vessel or Graft Spectroscopy Percutaneous Transcatheter Closure of the Left Atrial Appendage Wireless Pressure Sensor Implantation Coronary Interventional Procedures and Codes Noninvasive Vascular Diagnostic Studies General Guidelines Required Documentation for Duplex Studies Extremity Arterial Studies (Including Digits) Extremity Venous Studies (Including Digits) Cardiovascular Stress Tests/Exercise Stress Tests Cardiovascular Illustrations and Guidelines...81 Frequently Asked Questions Related to Cardiac Catheterization Coding...93 Selective Catheter Coding (Non-Cardiac Procedures) Component Coding Vascular Family Catheter Placements Transcatheter Therapy Rules Angiographic Radiology of the Head, Neck and Chest Coding Tips Interventional Radiology of the Head, Neck and Chest Coding Tips Angiographic Radiology of the Abdomen Coding Tips Renal Angiography Coding Tips Interventional Radiology of the Abdomen Coding Tips Angiographic Radiology of the Upper Extremities Coding Tips Interventional Radiology of the Upper Extremities Coding Tips Angiographic Radiology of the Lower Extremities Coding Tips v
5 Interventional Radiology of the Lower Extremities Coding Tips Angioplasty, Stenting, Atherectomy Coding Tips Thrombectomy and Thrombolysis Case Studies Appendix A 2018 Medicare Payment Rates MPFS Status Codes Hospital OPPS Status Indicators Appendix B Modifiers CPT Modifiers HCPCS Level II Modifiers Sample Charge-Capture Tools Diagnostic Angiography Procedures Interventional Radiology Procedures References vi
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