Cardiology

For the Week of May 2, 2017

Is there a specific time frame that allows separate coding for a new coronary angiogram prior to a coronary intervention when there has been a previous angiogram? 

There is no time frame specified.  As noted in the CPT manual, when a previous coronary angiogram has been performed, you can report a second exam if the physician documents that the patient’s condition has changed since the previous exam, or if the previous exam does not provide adequate visualization of the anatomy or pathology.  A new exam also may be reported when there is a clinical change during the procedure that requires a new evaluation outside the intervention area.