What documentation criteria must be met for billing CPT® codes 93451, 93456, 93457, 93530 (right heart catheterization) and CPT codes 93454, 93455, 93456, 93457, 93563, 93564 (coronary arteriography) separately from a PVL service?
These procedures must be separate and distinct from the PVL service. The documentation criteria include the following:
Other cardiac procedures are coded separately if not included in PVL procedure. Assign modifier 59 for services (the cardiac cath or coronary imaging procedure) performed on the same date of service/same session as the PBL procedure if the above criteria are met.
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