Please note this question was answered in 2021. The coding advice may or may not be outdated.
Post heart transplant annual/routine heart catheterization and biopsy
Question:
Any guidance on annual cath/biopsy for transplant patients... does this documentation support medical necessity? Using Z48.21, Z94.1 for ICD-10 codes.
"PROCEDURES PERFORMED: Selective coronary angio, LHC, RHC, US-guided access of the left axillary vein, IVUS LAD and LMCA, right ventricular endomyocardial biopsy.
HISTORY: Male with a history of stage D non-ischemic cardiomyopathy. The patient underwent BTT-H VAT. He had a very complicated and prolonged postoperative course. He developed right ventricular failure. He required prolonged temporary right ventricular mechanical circulatory support. He required LVAD pump exchange. He ultimately recovered and underwent cardiac transplantation in December 2019. Patient has a history of HTN, type 2 DM and HLD he presents today for his annual invasive transplant evaluation.
CONCLUSIONS: ISH LT CAV 0, intravascular ultrasound demonstrates stable donor derived atherosclerosis, low right and left heart filling pressures, normal cardiac index, normal pulmonary pressures, successful right ventricular endomyocardial biopsy."
Need to ask Dr.Z?
Don't see the answer you're looking for in the knowledge base? No problem. You can ask Dr. Z directly!Ask Dr. Z a question now!