Diagnostic Angiograms

image_pdfimage_print

Question:

I heard at a seminar that diagnostic angiograms performed at the same operative session as a stent or angioplasty can never be billed. Is that true?

Answer:

No that is not exactly true. According to CPT, diagnostic angiograms performed at the time of an interventional procedure may be separately reported if:

  • No prior catheter-based angiographic study is available and a full diagnostic study is performed and the decision to intervene is based on the diagnostic study OR
  • A prior study is available but as documented in the medical record:
    • The patient’s condition has changed since the prior study
    • There is inadequate visualization of the anatomy and/or pathology
    • There is a clinic change during the procedure that requires a new evaluation outside the target area of intervention

One of these conditions should be documented in the operative note; ideally in indications section. It must be clear that one of these conditions existed to justify a diagnostic study at the same time as an intervention.


KZA Featured Products  

  • Save time and eliminate errors when you code with Orthopaedic Code-X. It combines all the information and functions you need to code with complete confidence.
    Webinars
    Save time and eliminate errors when you code with Orthopaedic Code-X. It combines all the information and functions you need to code with complete confidence.
    Code-X
    Don't spend hours writing policies when you can customize this comprehensive manual to meet your unique practice policies and needs.
  • Don't spend hours writing policies when you can customize this comprehensive manual to meet your unique practice policies and needs.
    Employee Manual on CD
    KZA’s E&M Profile Analyzer* compares E&M coding patterns against your specialty’s state and national figures using CMS’ most recently published claims database.
    E&M Profile Analyzer
    Now you can create job descriptions in no time flat! This comprehensive set of job description samples includes a title and job summary, suggested education, skills, and other qualifications, and a list of detailed duties. Language that supports the Americans with Disabilities Act is also included. Open each sample description and customize it to your needs.
  • Don't spend hours writing policies when you can customize this comprehensive manual to meet your unique practice policies and needs.
    Don't spend hours writing policies when you can customize this comprehensive manual to meet your unique practice policies and needs.
    Background Checks
    Don't spend hours writing policies when you can customize this comprehensive manual to meet your unique practice policies and needs.
    Select™
  • Don't spend hours writing policies when you can customize this comprehensive manual to meet your unique practice policies and needs.
    Proception™
    Don't spend hours writing policies when you can customize this comprehensive manual to meet your unique practice policies and needs.
    Don't spend hours writing policies when you can customize this comprehensive manual to meet your unique practice policies and needs.