Ask Dr. Z

We have just recently started using this technology. In 2019 a Q&A said the MD has to document 3D FFR. However our physicians will state the technology in a variety of ways. What is sufficient for coding 0523T?

1) LAD FFR by cathworks is 0.87

2) Diffuse mid LAD 40% stenosis. TIMI 3 flow. CathWorks FFR: 0.83.

Some have a section of their report where it is documented like this by staff:

3) Flow wire: FFR.

FFR measurement is 0.86. Measurements were obtained in the middle right coronary artery. CathWorks system.

(Because the title says Flow wire they are documenting Cath Works at the end. (When it is a flow wire the wire supply is listed in the statement.) We are working on removing the words Flow Wire from generated text.)

And to clarify - if 3D angio and FFR is done in the same setting - only report one code. Report 93571 or 0523T?

Thank you very much!