Ask Dr. Z

Ask Dr. Z Knowledge Base houses over 7,500 coding questions and answers dating back to 2013.

Ask Dr. Z Disclaimer

Please note this question was answered in 2023. The coding advice may or may not be outdated.

Metabolic Cart Coding

Date: Nov 17, 2023

Question:

Does the report excerpt below support coding 93463 for the metabolic cart testing? Measurements obtained include right heart pressures, direct & indirect FICK and thermodilution measurements, and additional stats below after aforementioned measurements. Would the metabolic cart oxygen testing = 93463? (Unable to paste entire Hemodynamics due to character limit)

"A Swan-Ganz catheter was advanced to the pulmonary artery under fluoroscopic guidance and routine hemodynamic measurements were obtained (see below). A metabolic cart was used to measure oxygen consumption, which then allowed us to determine the exact cardiac output and index, rather than just using the estimate provided by the assumed fick (which uses a constant x body surface area to estimate the oxygen consumption) or the thermodilution (which can often times underestimate cardiac output in advanced heart failure, right heart failure, tricuspid regurgitation) methods.

PA Sat: 67 %

Systemic Sat: 98 %

Hgb: 12.5

Oxygen consumption: 335 ml/min

Inotropes: None"

Question ID : 19571
Sign up for a membership to view the answer to this question.

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!