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Pulmonary atresia with RV to PA conduit

Date: Aug 12, 2022

Question:

I have a patient who was born with 22q11 deletion syndrome, PA/VSD/MAPCAs with hypoplastic confluent PA. S/P VSD patch closure, MAPCA repair, placement of aortic homograft valved RV to PA conduit, and a melody valve implantation. Pt is here for hemodynamic assessment with consideration for intervention if indicated. Pt had a right/left heart cath and pulmonary angiogram. Is the RT/LT heart cath coded as 93596 or 93597? I coded 93597 and 93568 but the provider dictated normal connections.

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