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Services included in cardiac catheterization and coronary angiography

The following services are included in cardiac catheterization and coronary angiography, and should not be separately billed to Medicare:
  • sedation;
  • local anesthesia;
  • positioning, repositioning, and removal of catheter(s);
  • recording of intravascular and intracardiac pressures;
  • obtaining blood samples for blood gas determinations;
  • cardiac output measurements at rest, or at rest and during exercise, with or without electrode catheter placement;
  • monitoring services, such as ECG and arterial oxygen saturation;
  • final evaluation;
  • written report;
  • administration of medications during catheterization to treat acute symptoms or adverse events (e.g., angina, congestion, arrhythmias, etc);
  • post-procedure evaluation.
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