Ask Dr. Z

I have a physician who is doing selective right and left iliac angiography during a left heart catheterization. "We gained access from the right brachial artery. The left main coronary ostium was selectively engaged with the JL3.5 catheter, and angiograms were taken in multiple projections. The right coronary ostium was selectively engaged with the JR4 catheter, and angiograms were taken in multiple projections. The JR4 catheter was introduced in a retrograde fashion across the aortic valve into the LV, and pressure measurements were made. Selective right and left iliac angiography was performed by injecting the 4 French JR4 catheter. Selective right and left iliac angiography: Both of these angiograms demonstrated a probable proximal total occlusion of the iliac arteries. There was diffuse disease of the distal vasculature. There were prominent abdominal collateral vessels noted on angiography." Would we bill code 93458-26 with 36245-50? I am also finding that code 75716 might be appropriate too. What would be the best way to bill for the angiography?