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Multiple cardiac procedures

Date: Dec 22, 2010

Question:

Need some help please. We have a patient that came in ER in cardiac arrest, brought back and then taken to the cath lab. Cardiologist #1 did coronary angio only and then Cardiologist #2 attempted PCI of ostial RCA (which was subtotal occlusion) but was unsuccessful. The patient arrested during cath and had to be cardioverted along with CPR several times. Once patient was back in sinus rhythm a ballon pump was placed and the patient was transferred. The Cardiologist documents 2 hrs of critical care spent with this patient. My question is should we use 92982-74 for the unsuccessful PCI along with 33967 and 93508? I know we can't charge for the cardioversions. Appreciate any help you can give. Thanks.

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