Mrs. Salas had angina decubitus that lasted for 30 minutes and was admitted to the Coronary Care Unit with a diagnosis of r/o MI. The cardiologist (private practice based) takes her to the cardiac catheterization suite at the local hospital for a left heart catheterization. Injection procedures for selective coronary angiography and left ventriculography were performed and imaging supervision and interpretation for the selective coronary angiography and left ventriculography was provided. What CPT® code(s) is/are reported for the services?

The Current Procedural Terminology (CPT) code defined by the American Medical Association for cardiac catheterization procedures ranges from 93452-93461. The CPT code 93458 is specifically for coronary angiography procedures with catheter placement in the coronary artery to perform interventional and diagnostic cardiac procedures like;

• Coronary angiography

• Intraprocedural injections for performing selective coronary angiography

• Imaging supervision and interpretation for the selective coronary angiography

• Left heart catheterization

• Along with intraprocedural injections for left ventriculography, if performed.

The modifier 26 with 93458 is added to indicate that the physician has approved, supervised and interpreted the procedure.