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Date: Mar 22, 2010


I have a question regarding a percutaneous valvuloplasty procedure. The patient arrived from another hospital. A heart cath was recently done and the referring physician stated the patient had normal anatomy with an ejection fraction of 45 percent. The patient was referred to our facility for aortic stenosis repair. The op report for the valve repair includes: Hemodynamics-pressures and cardiac output measurements documented for the right heart. The left ventricular end-diastolic pressure severly elevated. The description for the percutaneous valvuloplasty. Final hemodynamics reported. aortic root angiogram indicates no aortic insufficiency. Since there was a previous heart cath, I didn't think a second one could be coded. Is that correct? Is the only procedure that should be coded in this example 92986 for the valve repair? We have just started doing these and any guidance would be appreciated. Thank you.

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