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Heart bx with Rt/Lt heart cath and coronary angiography

Date: Aug 15, 2022

Question:

I would appreciate your advice on coding an endomyocardial biopsy with right and left heart cath and coronary angiography in a pediatric heart transplant patient. The cardiologist states the reason for the procedure is "for routine evaluation including heart biopsy and coronary angiography". I understand that per OIG I can't code the right heart cath, but what about the left heart cath and coronary angiography? Can I report code 93458 (LHC with coronary angiogram) or 93454 (coronary angiogram) with 93505 (endomyocardial biopsy)?

Question ID : 17603
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