Coding for cardiology may contain some complex circumstances that lead to coding errors and denials. 2022 arrived with some noteworthy changes for cardiology coding, including new congenital cardiac codes. By grasping a better understanding of the codes and rationale behind them, cardiology CPT® coders and healthcare compliance professionals can better overcome any challenges while coding correctly. Let’s explore the foundations of these codes for future success.
Below are the new codes for 2022 with full descriptions.
| 93593 | Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections |
| 93594 | abnormal native connections |
| 93595 | Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections |
| 93596 | Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections |
| 93597 | abnormal native connections |
| +93598 | Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects
(List separately in addition to code for primary procedure) |
So, what are some of the circumstances when each code should be used? For 93598, the code can be used in conjunction with 93593, 93594, 93595, 93596, and 93597. When it comes to indicator dilution studies such as thermodilution for cardiac output measurement during cardiac catheterization for congenital heart defect[s], use 93598 as well. However, it should not be reported in conjunction with 93451-93461. When it comes to pharmacologic agent administration during cardiac catheterization for congenital heart defect[s], use 93463.
When performing a physiological exercise study with cardiac catheterization for congenital heart defect[s], 93464 should be reported. For contrast injections during cardiac catheterization for congenital heart defect[s], see 93563, 93564, 93565, 93566, 93567, and 93568.
What should you do for reporting services such as angiography or venography that are not described in the 90000 series code section? In this circumstance, you will need to see appropriate codes from the Radiology section and the Vascular Injection Procedures subsection in the Surgery/Cardiovascular System section. As for transseptal or transapical access of the left atrium during cardiac catheterization for congenital heart defect[s], report 93462 in conjunction with 93595, 93596, and 93597.
Also, understand that for existing codes as well for 2022, several have parenthetical changes due to congenital heart defect code changes:
Explore more insights and master understanding of CPT coding and compliance with our Peripheral & Cardiology Coder.
Climate change is no longer a distant threat; it’s a current reality affecting all facets of life, including public health. As the planet warms, healthcare
EDITOR’S NOTE: This series is based on the “Developing Facility-Specific Coding Guidelines” which is an AHIMA Practice Brief. This practice brief was updated in December
Please log in to your account to comment on this article.
Frank Cohen shows you how to leverage the Comprehensive Error Rate Testing Program (CERT) to create your own internal coding and billing risk assessment plan, including granular identification of risk areas and prioritizing audit tasks and functions resulting in decreased claim submission errors, reduced risk of audit-related damages, and a smoother, more efficient reimbursement process from Medicare.
Dr. Ronald Hirsch presents an essential “A to Z” review of Observation, including proper use for Medicare, Medicare Advantage, and commercial payers. He addresses the correct use of Observation in medical patients and surgical patients, and how to deal with the billing of unnecessary Observation services, professional fee billing, and more.
Explore the top-10 federal audit targets for 2024 in our webcast, “Top-10 Compliance Risk Areas for Hospitals & Physicians in 2024: Get Ahead of Federal Audit Targets,” featuring Certified Compliance Officer Michael G. Calahan, PA, MBA. Gain insights and best practices to proactively address risks, enhance compliance, and ensure financial well-being for your healthcare facility or practice. Join us for a comprehensive guide to successfully navigating the federal audit landscape.
Join healthcare attorney David Glaser, as he debunks refund myths, clarifies compliance essentials, and empowers healthcare professionals to safeguard facility finances. Uncover the secrets behind when to refund and why it matters. Don’t miss this crucial insight into strategic refund management.
Dive deep into the world of Social Determinants of Health (SDoH) coding with our comprehensive webcast. Explore the latest OPPS codes for 2024, understand SDoH assessments, and discover effective strategies for integrating coding seamlessly into healthcare practices. Gain invaluable insights and practical knowledge to navigate the complexities of SDoH coding confidently. Join us to unlock the potential of coding in promoting holistic patient care.
HIM coding expert, Kay Piper, RHIA, CDIP, CCS, reviews the guidance and updates coders and CDIs on important information in each of the AHA’s 2024 ICD-10-CM/PCS Quarterly Coding Clinics in easy-to-access on-demand webcasts, available shortly after each official publication.
Kay Piper reviews the guidance and updates coders and CDISs on important information in the AHA’s fourth quarter 2024 ICD-10-CM/PCS Quarterly Coding Clinic in an easy to access on-demand webcast.
Kay Piper reviews the guidance and updates coders on information in the AHA’s third quarter 2024 ICD-10-CM/PCS Coding Clinic in an easy to access on-demand webcast.
Copyright © 2024 ICD10monitor. Powered by MedLearn Media.
Happy World Health Day! Our exclusive webcast, ‘2024 SDoH Update: Navigating Coding and Screening Assessment,’ is just $99 for a limited time! Use code WorldHealth24 at checkout.
