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Cardiology Coding Alert

You Be the Coder:

+37250 and +92978 Differ on S&I Rule

Published on Mon Oct 18, 2010

Question: Does IVUS include S&I for the IVUS, or can you report both?Wisconsin SubscriberAnswer: The answer depends on whether the service was performed on a peripheral or coronary vessel.Peripheral: Peripheral intravascular ultrasound (IVUS) codes +37250 (Intravascular ultrasound [non-coronary vessel] during diagnostic evaluation and/or therapeutic intervention; initial vessel [List separately in addition to code for primary procedure]) and +37251 (... each additional vessel [List separately in addition to code for primary procedure]) do not include imaging supervision and interpretation (S&I). So if the cardiologist interprets peripheral IVUS images, you bill S&I separately using 75945 (Intravascular ultrasound [non-coronary vessel], radiological supervision and interpretation; initial vessel) for the initial vessel interpretation with +37250.And add +75946 (... each additional non-coronary vessel [List separately in addition to code for primary procedure]) to +37251 to report an additional vessel interpretation.Coronary: If you are coding coronary artery -- rather than peripheral vessel -- IVUS, you should use a single code [...]
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