Advanced Search

Cardiology Coding Alert

Correct Coding Initiative:

35475 and 35476 Switch Columns in October CCI Release

Published on Wed Sep 22, 2010

Following old rules could cost you $550 per procedure.This has been a year of changes for coding angioplasty of arteriovenous dialysis grafts. The latest Correct Coding Initiative (CCI) version, effective Oct. 1, 2010, adds to the list with a column swap that could be good news for your practice. Start With the 35475, 35476 Edit FactsThe two codes involved in the edit are the following:35475 -- Transluminal balloon angioplasty, percutaneous; brachiocephalic trunk or branches, each vessel35476 -- ... venous.Old way: Until Oct. 1, 2010, CCI's edit for 35475 and 35476 looked like this:Column 1      Column 235476              35475As a result, 35475 (arterial) was bundled into 35476 (venous).New way: Effective Oct. 1, 2010, CCI swaps the edit pair for physician edits, so that 35476 (venous) is bundled into 35475 (arterial):Column 1      Column 235475              35476Grasp How Column Change Affects FeeAccording to CCI rules, if you report both codes in a column 1/column 2 edit pair [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Cardiology Coding Alert

View All