Ask Dr. Z

My provider is saying I can report code 93452 with this note. I see no edits for billing 93452 and 92928.

However, the coronary arteries were also imaged, therefore I would code 93458, which is bundled with the intervention. There are no indications to support the LV was assessed for monitoring purposes. Should I code the 93452? 

"A diagnostic cath was performed five days prior to this procedure confirming disease. Patient has no new symptoms. Diagnostic images were completed with a JR4 and JL3.5 diagnostic catheter. The JR4 was used to assess the LV, the right coronary artery was not re-imaged given that it was a known chronic total occlusion. Instead of a JL3.5, we actually chose an EBU 3.5 guiding catheter, which gave good imaging although dual ostium were present between the LAD and circumflex. This identified known two-vessel coronary artery disease and a known chronic total occlusion to the right coronary artery with collateralization. Intervention: Stents were placed in the LC and LD."