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.