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Coding for 93566 vs. 93566, 93567, 93568

Date: Dec 5, 2019

Question:

"HX: 1-day-old with HLHS on prosteaglandins. Cath and placement of flow restrictors in bilateral PAs, stent PDA, atrial septostomy in order to allow growth before Norwood proc. PROC: antegrade RHC using 5 French end-hole wedge catheter was performed & DSAO & RV pressures obtained & baseline oximetry. Power injection performed in RV. Measurements were made in RPA & LPA. ANGIO: Power injection performed in RV w/berman catheter and contrast shows no catheter related TR. The RV is moderately hypertrophied w/adequate systolic function. There is no angiographic obstruction of main PA. There is a large duct which is opacified & the descending aorta. There is retrograde faint opacification of ascending aorta. Both branch PA's appear of normal caliber. There is normal distal arborization." Would you code 93566 since injecting RV, or 93556, 93567, and 93568 based on angio description?

Question ID : 13342
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