Ask Dr. Z

Would you use 93580 in this case? "Transseptal puncture with left atrial access,elective left atrial and left atrial appendage angiography. the left atrial appendage was taking a 90-degree bend and this segment was not covered by the AtriClip at all.Via TEE measured the residual hole at the mouth of the left atrial appendage and this measured to be 5 mm. The residual lobe of the left atrial appendage measured 13 mm on the inside. We decided to close this hole with a 5 mm Amplatzer septal occluder, which will have a 13 mm disk on one side and a 15 mm disk on the other side. Multiple measurements were taken to ascertain this following which, a 5 mm Amplatzer septal occluder device was advanced through the channel sheath into the left atrial appendage and 1 disk was released. We then pulled the guide catheter out of the left atrial appendage and deployed the second disk successfully sandwiching the hole and completely excluding it." Is there anything to code the transseptal or LA angio since the add-on codes wont work here?