1. Left heart catheterization
2. left ventriculogram
3. aortic arch angiogram
A 6 French terumo sheath was placed in the right radial artery. Once the sheath was inserted, 1mg verapamil and 300 mcg of nitroglycerin was injected through the sheath. 5000 units of heparin was given through the IV. Selective coronary angiogram was then performed using a 6 French JL 3.5 catheter and a 5 French JR4 diagnostic catheter. a pigtail catheter was advanced into the aortic arch and hand injection angiogram was performed to try to visualize the subclavian artery and left internal mammary artery. There is poor filling of those vessels, but they did appear to be patent. The JR4 catheter prior to its being removed was advance over a J-wire across the aortic valve into the left ventricular cavity. The left ventricular pressure was measured along with hand injection left ventriculogram. The patient tolerated the procedure without incident. At the end of the case, the catheter and sheath were removed with adequate hemostasis using a TR band. 93458 26 and what other code to use? Another coder at work wants to use 37221, but that’s for Pta and stent. Some help would be appreciated