Cardiology Coding Alert

Question: Our doctor did an IVC filter placement. The old codes were 37620, 75940. I was wondering if the new code would be 37191-26. Also documented with the filter is venography (75825) and cath intro (36010) with intro sheath extremity venous (36005). Can all of these be used, or is this a bundling issue in 2012?Codify MemberAnswer:You're right that 37191 (Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance [ultrasound and fluoroscopy], when performed) is the new IVC filter placement code. Caution: The code does not take a modifier 26 (Professional component), per the Medicare Physician Fee Schedule. Code 37191 should capture all of the services you describe. The code includes "endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed."Additionally, Correct Coding Initiative [...]