Ask Dr. Z

Patient with admitting diagnosis of cerebral aneurysm and patient consented for diagnostic cerebral angiogram. Patient is brought to the IR suite, put on the table, hooked up to monitor, groin shaved, site prepped, patient draped with sterile covers, contrast injector loaded and lines prepper, heparinized saline spiked and lines flushed/cleared, all supplies that were needed opened and prepped (cathethers, sheaths, wires, puncture set, syringes, lidocaine drawn, etc). EKG was done under the sterile covers and patient noted to be bradycardic. Px was cx'ed. I'd consider coding the intended px for this case per HCPCS for Coding Clinic 2nd qtr 2008 Modifiers 52, 73, 74. Do you have advice you could share? thank you