Answer: You should use 33967 ( Insertion of intra-aortic balloon assist device, percutaneous ). You’re correct that 93536 is no longer valid. CPT deleted it in 2002.
Note: You must code the diagnoses according to your radiologist’s documentation. Keep in mind that few diagnoses will support the claim for an intra-aortic balloon pump (IABP), which is used to enhance the pumping action of the patient’s heart. CHF (congestive heart failure, ) and cardiogenic shock () both support the IABP for the hemodynamic support at the time of the left heart cath.
If you have the supporting documentation, you may also try to submit the claim if the patient has unstable angina () or respiratory failure ().
You should not use 36200 ( Introduction of catheter, aorta ) because it represents a component of diagnostic studies performed in the aorta. Insertion of an IABP is a separately reported therapeutic procedure.