June 2017 Q & A

Question: Coarctation of Aorta and Bicuspid Aorta Valve

I have a provider that is is trying to tell us that if a patient has a coarctation of the aorta and a bicuspid valve then we need to bill the congenital CPT codes. I noticed that you answered a similar question in March, but I was wondering where you got your information so I can provide that information to my provider.

 

Answer:
In the introductory section to Cardiac Catheterization in the CPT codebook, it states: Anomalous coronary arteries, patent foramen ovale, mitral valve prolapse, and bicuspid aortic valve are to be reported with 93451 – 93464, 93566 – 93568. These codes all describe non-congenital imaging. A coarctation of the aorta is a narrowing of the descending thoracic aorta which is not part of the heart, so does not affect cardiac procedure coding.