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Possible ASD Closure

Date: Mar 25, 2015

Question:

"TEE for possible ASD. Scheduled for possible ASD closure, however, unable to cross the defect using the Coournand catheter. Then RHC performed to measure right sided pressures, and we were able to wedge the catheter and obtain wedge pressure. Then pulmonary angiogram was performed for possible AVMS. ICE catheter also used. Also perfomed SVC, which showed no persistent left SVC." We coded 93451/93568/75827 and 93799 for ICE. Please advise. Thanks

Follow-Up Inquiry: If it is ASD closure/diagnosis, then only RHC performed, do you suggest coding 93530 or 93451? According to the CPT Codebook for PFO use non-congenital heart caths? Sometimes they find ASD but not able to cross the defect and RHC/pulmonary angiogram/ICE/SVC performed. In both cases we charge 93799 for ICE, but not sure of 93530 versus 93451? Please advise.

Question ID : 6348
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