Find comprehensive information on heart catheterization, including clinical documentation requirements, medical coding guidelines (CPT, ICD-10-CM), and healthcare procedures. Learn about left heart catheterization, right heart catheterization, coronary angiography, cardiac catheterization recovery, and potential complications. This resource provides valuable insights for physicians, nurses, coders, and other healthcare professionals involved in the diagnosis and treatment of heart conditions using cardiac catheterization procedures.
Also known as
Cardiac catheterization
Insertion of a catheter into the heart for diagnostic or therapeutic purposes.
Admin of therapeutic substances
Administration of drugs or other substances during cardiac catheterization.
Ischemic heart diseases
Conditions often investigated or treated via cardiac catheterization.
Follow this step-by-step guide to choose the correct ICD-10 code.
Diagnostic or therapeutic?
Diagnostic
Right or left heart?
Therapeutic
Coronary or non-coronary?
When to use each related code
| Description |
|---|
| Heart Catheterization |
| Coronary Angiography |
| Percutaneous Coronary Intervention |
Coding errors due to unspecified coronary artery access site, branch, or selective vs. non-selective catheterization impacting reimbursement.
Separate coding for diagnostic imaging and interventions performed during the same catheterization session, leading to overbilling.
Lack of documentation specifying the purpose of catheterization (diagnostic vs. interventional) causing coding and billing discrepancies.
Patient presented for cardiac catheterization procedure due to symptoms of stable angina. Pre-procedure assessment included review of medical history, physical examination, electrocardiogram (ECG), and prior stress test results indicating myocardial ischemia. Informed consent was obtained, and the patient was prepped and draped in the standard sterile fashion. Femoral artery access was achieved using Seldinger technique. A diagnostic catheter was advanced under fluoroscopic guidance to the coronary arteries. Coronary angiography revealed a 70% stenosis in the left anterior descending artery (LAD) and a 50% stenosis in the right coronary artery (RCA). Left ventriculography demonstrated normal left ventricular function with an ejection fraction of 60%. Hemodynamics were monitored throughout the procedure, and no significant arrhythmias were observed. Post-procedure, hemostasis was achieved at the access site, and the patient was transferred to the recovery area in stable condition. Plan includes medical management with beta-blockers and statins, and consideration for percutaneous coronary intervention (PCI) or coronary artery bypass graft surgery (CABG) based on these findings. Diagnosis: Coronary artery disease (CAD), stable angina. Procedure: Left heart catheterization, coronary angiography, left ventriculography.