Ask Dr. Z

Below is a portion of dictation from a cardiac catheterization; just the portion related to the aortogram is included; a full catheterization and coronary angiogram were performed. Can you please help settle a dispute between the cath lab and the coders? Would the correct code for the aortogram be 75625 or 93567? "PROCEDURE LIST: 1) Left heart catheterization. 2) Coronary angiogram. 3) Left ventriculogram. 4) Abdominal aortic angiogram with flow through angiogram of both renal arteries and right iliofemoral artery. TECHNIQUE OF PROCEDURE: The catheter was then pulled to the abdominal aorta. Abdominal aortic angiogram with flow through angiogram of the right iliofemoral artery and both renal arteries was performed. ANALYSIS OF DATA: 1) No abdominal aortic aneurysm is noted. 2) No renovascular stenosis is noted. 3) The right common iliac artery has no significant stenosis."