Cardiac Catheterization 2011 CPT changes

Cardiac catheterization involves passing a thin flexible tube (catheter) into a chamber or vessel of the heart usually from the groin or the arm. This is done for both investigational and interventional purposes. The CPT codes used to report these procedures earlier have been deleted. The new CPT codes effective from January 1, 2011 for reporting the cardiac catheterization procedures are listed below. (Also see 2012 Cardiology code changes)

List of Deleted and Replaced codes

Right Heart Catheterization [RHC] (93501)

93451 Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed.

Left Heart Catheterization [LHC] (93510), Left Ventricular [LV] Injection (93543) and Supervision & Interpretation for LV angio (93555)

93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography; imaging supervision and interpretation, when performed

RLHC (93526), LV Injection (93543) and S&I for LV angio (93555)

93453 Combined right heart cath and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed

Coronary Angiogram (93508), Coronary Injection (93545) and S&I Cor Ing (93556)

93454 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation

Coronary Angiogram (93508), Coronary Injection (93545), S&I Cor Inj (93556), Injection Arterial Conduits (93539) and Injection SVG’s (93540)

93455 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial venous grafts) including intraprocedural injection(s) for bypass graft angiography

Coronary Angiogram (93508), Cor Injection (93545), S&I Cor Inj (93556) and RHC (93501)

93456 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization

Coronary Angiogram (93508), Cor Injection (93545), S&I Cor inj (93556), Injection Arterial Conduits (93539), Injection SVG’s (93540) and RHC (93501)

93457 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation;with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiographyand right heart catheterization


Cor Injection (93545), S&I Cor Inj (93556), LHC (93510), LV Inj (93543), S&I LV Inj (93555)

93458 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation;with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed

Cor Injection (93545), S&I Cor Inj (93556), LHC (93510), LV Inj (93543), S&I LV Inj (93555), Injection Arterial Conduits (93539) and Injection SVG’s (93540)

93459 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation;with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed,catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography

Cor Injection (93545), S&I Cor Inj (93556), LV Inj (93543), S&I LV Inj (93555) RLHC (93526)

93460 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation;with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed

Cor Injection (93545), S&I Cor Inj (93556), LV Inj (93543), S&I LV Inj (93555) RLHC (93526), Injection Arterial Conduits (93539) and Injection SVG’s (93540)

93461 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation;with rightand left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed,catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography

New Add-on codes

+93462 Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure)

+93463 Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent), including assessing hemodynamic measurements before, during, after, and repeat pharmacologic agent administration, when performed (List separately in addition to code for primary procedure)

+93464 Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure)

+93563 Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separately in addition to code for primary procedure)

+93564 Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report;for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aortocoronary saphenous vein, free radial artery, or free mammary artery graft) to one or more coronary arteries and in situ arterial conduits (eg, internal mammary), whether native or used for bypass to one or more coronary arteries during congenital heart catheterization, when performed (List separately in addition to code for primary procedure)

+93565 Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to code for primary procedure)

+93566 Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition to code for primary procedure)

+93567 Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure)

+93568 Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for pulmonary angiography (List separately in addition to code for primary procedure)

Please also refer 'Complete list of New and deleted 2011 CPT codes'.