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2025 CPT code 93453

Combined right and left heart catheterization, including left ventriculography, imaging supervision, and interpretation.

This code includes imaging supervision, interpretation, and report. It should not be reported in addition to other codes representing separate injection procedures unless they are distinct and not included in 93453.

Modifiers may be applicable. Modifier 26 is used for the professional component, and modifier TC is used for the technical component.

Medical necessity for this procedure must be supported by relevant clinical indications such as symptoms, abnormal test results, or underlying conditions affecting heart function. The documentation must clearly link the procedure to the patient's diagnosis and treatment plan.

In simple words: This procedure examines the heart's function by inserting small tubes (catheters) into both sides to measure pressure and take X-ray images of the heart's chambers.

This procedure involves catheterization of both the right and left sides of the heart for diagnostic purposes. It includes introducing catheters into the heart chambers, measuring pressures, and performing left ventriculography (imaging of the left ventricle) using contrast injection. The service also encompasses imaging supervision, interpretation, and a report.

Example 1: A patient with suspected heart failure undergoes combined right and left heart catheterization to assess the heart's pumping function and measure pressures within the chambers., A patient presenting with chest pain and shortness of breath undergoes this procedure to determine if there are blockages in the coronary arteries or problems with heart valves. , Prior to a planned heart valve surgery, the physician uses this method to evaluate heart function, including the performance of the left ventricle, and guide the surgical approach.

Documentation should include the medical necessity for the procedure, details of the catheterization process, pressure measurements, imaging findings from the left ventriculography, and interpretation report. Any complications encountered during the procedure must also be documented.

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