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LVEDP unable to be measured due to equipment malfunction.

Date: Mar 12, 2024

Question:

Patient is brought in for a left heart catheterization with coronary angiography. Procedure is performed to completion with the exception of measurement and documentation of the LVEDP. The left ventricle was entered; however, equipment malfunction prevented the physician from obtaining the LVEDP. Can this be coded with 93458? Or am I allowed to code only for the coronary angiography, 93454? If 93458 is appropriate, what, if any, modifier would be appended? -52 says without anesthesia.

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