Ask Dr. Z

Ask Dr. Z Knowledge Base houses over 7,000 coding questions and answers dating back to 2010.

Ask Dr. Z Disclaimer

Please note this question was answered in 2010. The coding advice may or may not be outdated.

Date: Mar 22, 2010

Question:

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.

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!