• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki 2010 93556 and 75625

Create Wiki
L

Lisa Bledsoe

True Blue
Messages
2,037
Location
Greeley, Colorado
Best answers
0
I am working old claim denials from 2010. The previous coder coded as follows:
75625-26
93510-26
93545
93556-26
93543
93555-26

75625-26 is being denied as a qualifying procedure has not been received or paid.
Per CPT for 75625 report 93544 for the injection procedure (yes it is documented for the aorta and run-off). My question - Doesn't 93556 include 75625?

Thank you in advance...I don't have access to 2010 CCI edits to even give me a clue. :o
 
Lisa Curtis said:
I am working old claim denials from 2010. The previous coder coded as follows:
75625-26
93510-26
93545
93556-26
93543
93555-26

75625-26 is being denied as a qualifying procedure has not been received or paid.
Per CPT for 75625 report 93544 for the injection procedure (yes it is documented for the aorta and run-off). My question - Doesn't 93556 include 75625?

Thank you in advance...I don't have access to 2010 CCI edits to even give me a clue. :o
Click to expand...

Hi Lisa,
First, is this patient a Medicare patient? If it is, 75625 should then be G0275. There is no separate injection procedure for the abdominal aortogram, this is injection and S&I charge. Catheter placement is bundled into heart cath charges.

HTH,
Jim Pawloski, CIRCC
 
Thanks Jim. These are Medicare denials. What if it was a non-medicare patient? What would pe the correct code in that scenario?
I really appreciate your expertise! Thank you so much!
 
Lisa Curtis said:
Jim - not meaning to sound dumb...but G0275 says "renal angiography". Is that still applicable for aorta and bilateral run-off?
Click to expand...

G0275 says "Non-selective renal angiography. So the catheter is placed at the level of the renals and injected.
As for non-medicare, you use 75625 for the aortogram,and 75716 for complete lower extremity angiogram
HTH,
Jim
 
You must log in or register to reply here.
Top