Cardiology Coding Alert
Use New Code for Bilateral Iliac Wall Graft Stenting
Question: Do 37205 (Transcatheter placement of an intravascular stent[s], [non-coronary vessel], percutaneous; initial vessel) and +37206 (... each additional vessel [list separately in addition to code for primary procedure) cover the stents for bilateral iliac aneurysms, or should I use an unlisted-procedure code? Nevada Subscriber Answer: CPT 2003 includes a new code for iliac aneurysm repair: 34900 (Endovascular graft replacement for repair of iliac artery [e.g., aneurysm, pseudoaneurysm, arteriovenous malformation, trauma]). Report 34900 and append modifier -50 (Bilateral procedure) because the repair procedure was bilateral.
Use 75954 (Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and interpretation) and append modifier -26 (Professional component) for the radiological supervision and interpretation if the procedure was done in the hospital rather than the office. Also report the appropriate catheter placement codes, depending on the physician's access site and method.
Cardiology Coding Alert
- Keep Tabs on Stent Injuries in Brachytherapy Coding to Avoid Denials
When reporting intracoronary brachytherapy codes, make sure you have documentation supporting the specific coronary artery [...] - Tips for Coding Intracoronary Brachytherapy
For some extra help coding brachytherapy procedures, take a look at the following intracoronary brachytherapy [...] - CCI Update:
New Pacer Codes Bundle Device Implants
Cardiology coders may not be very concerned about the most recent Correct Coding Initiative (CCI) [...] - Interim RVUs for New CPTCodes
Post this handy list, which includes the code descriptions and the current relative value units [...] - Fee Schedule Shows Diagnostic Procedure Reductions
Under the 2003 fee schedule, which CMS published in the Dec. 31, 2002, Federal Register, [...] - You Be the Coder:
Coding Abdominal Aortagram with Runoff
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - Reader Question:
Use Modifier -76 Rather Than Modifier -25 for Restenting
Question: One of our physicians stented a patient's proximal left anterior descending coronary artery (LD) [...] - Reader Question:
Use New Code for Bilateral Iliac Wall Graft Stenting
Question: Do 37205 (Transcatheter placement of an intravascular stent[s], [non-coronary vessel], percutaneous; initial vessel) and [...] - Reader Question:
Append Modifier -59 for Temporary Pacemaker
Question: Our cardiologist performed a left-heart catheterization (LHC) on a patient. During the procedure, he [...] - Reader Question:
Malignant Ventricular Arrhythmia Goes Unspecified
Question: Should I use ICD-9 code 198.89 (Secondary malignant neoplasm of other specified sites) for [...]
