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Impella with R&L heart cath pressures (cpt#93453) what is bundled w/33990?

Date: Jan 28, 2019

Question:

The patient arrived with already placed IABP. The IABP was removed and MD did R&L 93453 before placing a 33990 Impella and then proceeded with planned PCI. Is it okay to charge again for the R&L heart cath? Different scenario: patient arrives for Impella 33990 and the doctor does 93453 prior to Impella insert. Is that okay to charge?

Question ID : 11925
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