You will now encounter plenty of edits for codes 37241-37244.
In the beginning of this year, CPT® added vascular embolization codes 37241-37244. Ever since, the Correct Coding Initiative (CCI) has been identifying plenty of bundles to add for these codes. In the version effective Oct. 1, CCI 20.3 introduces more edit pairs. These edits mean to limit your separate billing of radiology and vascular access procedures in addition to your primary surgical code. Here is more on how these edits affect your coding.
Remember Codes Include Radiological Supervision
You’ll see a host of new edit pairs with the following codes for procedures that your radiologist might perform:
The above codes specifically state that they include “all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention.” So it’s not surprising that CCI 20.3 adds dozens of edits bundling radiology codes into these 3724x codes.
“These edits support a change happening throughout CPT® to include the radiology and vascular access procedures as part of the primary procedure code, rather than billing separately for them,” says Marcella Bucknam, CPC, CPC-I, CCS-P, CPC-H, CCS, CPC-P, COBGC, CCC, internal audit manager with PeaceHealth in Vancouver, Wash.
Check the Edits Before Reporting a Catheterization Code
CCI 20.3 also lists the preceding embolization/occlusion codes as column 1 codes with a host of column 2 codes related to catheterization. Mostly, these edits bundle nonselective catheterization into the procedure, explains Christina Neighbors, MA, CPC, CCC, Coding Quality Auditor for Conifer Health Solutions, Coding Quality & Education Department.
37241: You’ll find the following codes bundled into venous code 37241:
37242: CCI bundles many more codes into artery code 37242:
Keep in mind that rather than 37242, head and neck embolization falls under 61626 (Transcatheter permanent occlusion or embolization [e.g., for tumor destruction, to achieve hemostasis, to occlude a vascular malformation], percutaneous, any method; non-central nervous system, head or neck [extracranial, brachiocephalic branch])
37243: You’ll face many of the same edits for tumor, organ ischemia, and infarction code 37243:
37244: For vascular hemorrhage and lymphatic extravasation code 37244, you’ll see these codes bundled in: