If a patient is brought to the cardiac cath lab and only bypass grafts were visualized (for example, SVG to the right coronary artery (RCA), and SVG to the circumflex) with no native coronary arteries being injected or imaged, what is the appropriate CPT procedure to code/charge?
An ACC CPT Advisor states that when native coronaries and grafts are studied, the following may be the appropriate codes:
There is no code for only graft angiography. Because the procedure performed is less than what the code descriptor requires, report the appropriate code from the choice above that includes native coronary angiography and add modifier 52 (reduced services).
This question was answered in our Peripheral & Cardiology Coder. For more hot topics relating to cardiology services, please visit our store or call us at 1.800.252.1578, ext. 2.
CPT® copyright 2024 American Medical Association (AMA). All rights reserved.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24