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Can we code for both the Right Heart Cath (93501) & Swan-Ganz placement (93503)?

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Can we code for both the Right Heart Cath (93501) & Swan-Ganz placement (93503)?

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This is from my Medicare carrier and how I have always coded a Swan-Ganz. There could be an exception though depending on the report as the last post states. Swan Ganz Placement (93503). When a catheter is placed in the right heart for medically necessary monitoring purposes, the code 93503 must be reported. The codes describing a right heart catheterization (e.g., 93501) are used only for medically necessary diagnostic procedures. The code 93503 includes: a. Anesthesia or sedation. b. The insertion of the flow-directed catheter. c. The recording of intracardiac and intravascular pressures. d. Obtaining blood samples. e. The use of data obtained from measurements of the catheter.

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