New cardiac cath codes

I need help in crosswalking from old cath codes to new cath codes. All the places I thought would let me do it, wont. Is there a diff website I can go to? I've been to my CPT® book, Fed Registar, CMS', our software. I even went to seminar but no one worked any cases- just read to us. Someone please help! I need: 93510, 93526, 93508, limas, svgbs, aortic root. Thats about it. Thanks Big Time!!

cath

Left Heart:
93458-26 Left heart, coronary angio, coronary interp., and V-gram angio./V-gram interp,( when performed)
93452-26 Left heart, includes V-gram angio, V-gram interp (when performed)
93459-26 left heart, coronary angio, coronary interp , V-Gram angio/ v-gram interp (when performed), native and bypass grafts- Ima, free arterial, venous bypass graft and bypass graft angiography
R & L Heart:
93460-26 R&L cath, coronary angio, coronary interp, and V-gram injection/interp. (when performed)
93461-26 R&L heart cath, , coronary angio/ coronary interp, native and bypass graft angiographies (IMA and/or free arterial venous grafts) , V-gram angio, V-gram interp (when performed)
93453-26 R&L cath, and V-gram angio, V-gram interp (when performed)
Cath W/O Left Heart:
93455-26 (cath w/o left heart, native and bypass (IMA, and/or free arterial venous grafts injection and interp.), coronary angio, coronary interp)
93454-26 (cath w/o left heart, coronary angio, coronary interp)
93456-26 (Catheter in coronary artery(s), coronary angio, coronary interp), with right heart, cath w/o left heart
93457-26 (catheter in coronary artery(s), coronary interp, with right heart cath, w/o left heart, catheter; placement in bypass graft(s) (internal mammary, free arterial, venous graft(s); bypass graft angiographyIMA SVG,)
Right Heart:
93451-26 Right heart cath, with O2 sats/cardiac output (when performed)

Add-On Procedures:
+93567 Supravalvular aortography during cardiac cath
+93568 Pulmonary angiography during cardiac cath
+93566 Selective right ventricular atrial angiography
+93462 Left Heart cath by transseptal puncture
+93463 Pharmacological agent administration
+93464-26 Physiologic exercise study

new cath codes

Thanks so much! Am I reading this correctly that if patient has a CABG that we use a diff cath code? I appeaciate your help!

Examples 2010 codes and 2011 code crosswalk

2010 codes
Left Heart
93510-26, 93539, 93540, 93543, 93545, 93555, 93556
(92011 CODE IS 93459-26);
93510-26, 93543, 93545, 93555, 93556
(2011 CODE 93458-26);
93510-26, 93543, 93555
(2011 CODE 93452-26);

R & L Heart
93526-26, 93539, 93540, 93543, 93545, 935555, 935556
(2011 CODE 93461-26);
93526-26, 93543, 93545, 93555, 93556
(2011 CODE 93460-26);
93526-26, 93543, 93555
(2011 CODE 93453-26);

Cath W/O Left Heart
93508-26, 93539, 93540, 93545, 93556
(2011 CODE 93455-26);
93508-26, 93545, 93556
(2011 CODE 93454-26);
93501-26, 93508-26, 93545, 93556
(2011 CODE 93456-26);
93501-26, 93508-26, 93539, and/or 93540, 93545, 93556
(2011 CODE 93457-26);
Right Heart
93501-26, 93555
(2011 CODE 93451-26).

example

Patient with prior CABG 8 years ago now with chest pain and angina. Referred for coronary and bypass angiography and left ventricular angiography = code 93459

2011 cadiology changes

Wonderful Job. Thanks for both of you(suzanne, nmaguire). It helped me alot. Great work

cath codes

Thanks for all your help! I've got another question: Sometiomes our doc doesnt do a LV. Would that be 93458-26? If LV done do I need to add the new inj codes?
Also, 93463 should be included on the claim too right?

Lv

No, if you do not do LV, code is same. The code reads (when performed), so the same code whether you do LV or not