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R&L Heart Cath (93460) with Biopsy 93505

Date: Sep 17, 2019

Question:

Patient is seen for his post transplant surveillance. He had an echo that showed mildly dilated RV with mildly reduced systolic function. He has moderate tricuspid regurgitation. The physician performs a right and left heart catheterization with biopsy. I know we do not code 93451 with the 93505; however, would it be appropriate to code right and left heart catheterization with angiography (93460) or left heart catheterization with angiography (93458) along with 93505 in this case? We are starting to see more cases like this, and I want to make sure we understand correctly.

Question ID : 13037
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