NCD for Single Chamber and Dual Chamber Cardiac Pacemakers

NCD for Single Chamber and Dual Chamber Cardiac Pacemakers

Permanent cardiac pacemakers refer to a group of self-contained, battery operated, implanted devices that send electrical stimulation to the heart through one or more implanted leads. Single chamber pacemakers typically target either the right atrium or right ventricle. Dual chamber pacemakers stimulate both the right atrium and the right ventricle.  The implantation procedure is typically…

Coding guidelines for interventional cardiology – LHC, RHC and Coronary Angiogram

Coding guidelines for interventional cardiology – LHC, RHC and Coronary Angiogram

Left Heart Catheterization The physician threads a catheter to the heart, most frequently through an introducing sheath placed percutaneously into the femoral, brachial, or axillary artery using retrograde technique. Using this technique, the catheter passes through the aortic valve into the left ventricle. Blood samples, pressure and electrical recordings, and/or other tests are performed. ECG…

Coding Guidelines for Swan-Ganz Catheterization

Coding Guidelines for Swan-Ganz Catheterization

Swan-Ganz Catheterization procedure commonly includes insertion of a flexible, balloon-tipped catheter into the pulmonary artery for bedside diagnosis or hemodynamic monitoring of the critically ill patient. This procedure includes cannulation of a central vein, such as the subclavian or internal jugular vein, through which a flow-directed catheter is advanced into the right atrium (RA), right…

Services included in cardiac catheterization and coronary angiography

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…