Ask Dr. Z

"Patient called EMS for CP that woke him from sleep, along with diaphoresis and N/V. STEMI. No cardiac hx. Doctor arrives to bedside in the ED and requests Brilinta and heparin. Patient then goes into v fib arrest. ACLS protocol followed and patient goes into pulseless v tach. ROSC then achieved. Intubation noted to be difficult but pt has no periods of hypoxia. Levophed required after multiple doses of epinephrine. Pt taken to the cath lab for LHC, coronary angiogram, IABP placement, balloon angioplasty, and placement of one stent for a 100% wrap around LAD occlusion. Patient was then transferred to Hospital B for further care of cardiogenic shock.”

The patient had inpatient-only procedure 33967. Patient presented to ED, went to cath lab, and did not get admitted. The patient was then transferred out. How should this be billed?