How do you code and bill a heart catheterization? And how much does Medicare pay for a heart catheterization?". There are five components. Anyone reading my blog knows how complicated CPT® coding is. Please reference the CPT 2013 Standard Edition as the up to date definitive authority. The following are the codes that are billed to the Medicare National Bank every time a heart catheterization is performed. Remember, there are fees paid to doctors and fees paid to hospitals. And they are completely separate from each other. These fees will change based on a geographic modifier (what part of the country you live in) but assume normal cost of living cities.
1) CPT® 93510: Left heart catheterization, retrograde (sticking the needle in the groin and guiding the catheter to the heart).
2) CPT® 93545: Injection procedure during heart catheterization (squirting some dye in the arteries).
3) CPT® 93543: Left ventricular angiography (squirting dye into the heart's left ventricle).
4) CPT® 93555: Interpretation and report of injection procedure during cardiac catheterization, ventricular and/or atrial angiography ("What's my ejection fraction doc?").
5) CPT® 93556: Interpretation and report for injection procedure of the arteries ("Are my arteries blocked doc?") .
Start to finish for a heart cath including procedural, documentation and time spent talking with family is about one hours time from start to finish for left heart catheterization with left ventriculogram and arteriogram with interpretation and report.
Time spent: 60 minutes
You can learn more about coding here in my CPT® coding lectures.
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