Radiology Coding Alert

Correct Coding Initiative:

Match Your 35475, 35476 Coding to CCI's Latest Change

This column swap could mean an additional $552 for your practice.This has been a year of changes for coding angioplasty of arteriovenous dialysis grafts. The latest Correct Coding Initiative (CCI) version, effective Oct. 1, 2010, adds to the list with a column swap that could be good news for your practice.Start With the 35475, 35476 Edit FactsThe two codes involved in the edit are the following:35475 -- Transluminal balloon angioplasty, percutaneous; brachiocephalic trunk or branches, each vessel35476 -- ... venous.Old way: Until Oct. 1, 2010, CCI's edit for 35475 and 35476 looked like this:Column 1      Column 235476           35475As a result, 35475 (arterial) was bundled into 35476 (venous).New way: Effective Oct. 1, 2010, CCI swaps the edit pair for physician edits, so that 35476 (venous) is bundled into 35475 (arterial):Column 1               Column 235475                    35476Grasp How Column Change Affects FeeAccording to CCI rules, if you report both codes in a column 1/column 2 edit [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Radiology Coding Alert

View All

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.