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Cardiology Coding Alert

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93503 With 71010? See What CCI Has to Say

Published on Fri Mar 09, 2012

Plus: Take this pulmonary angiography challenge.You may find answers to your coding questions in an often overlooked place: the NCCI Policy Manual for Medicare Services. This manual for Medicare's National Correct Coding Initiative (NCCI or CCI) includes information on both general CCI concepts and explanations of code-specific edits.Try your hand at two questions that are addressed by the manual, and then learn exactly where to look in the Jan. 1, 2012, version to support your coding choices.1. Confirm Coding for X-Ray With Swan-GanzQuestion: The cardiologist inserts a Swan-Ganz catheter for hemodynamic monitoring purposes (not in conjunction with other catheterization services). He then reviews a chest X-ray to confirm proper positioning. You should report this as:A. 93503 (Insertion and placement of flow directed catheter [e.g., Swan-Ganz] for monitoring purposes).B. 93503, 71010 (Radiologic examination, chest; single view, frontal).C. 93503, 71010-26 (Professional component).D. 93503, 71010-26-59 (Distinct procedural service).Answer: A. The CCI manual addresses [...]
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