Okay I need some opinions here.
My understanding of these codes is that the difference is cather placement.
75625 75716 two cather positions. Abd, move catheter then LE Run-Off
75630 one cather position Abd and run off from one positon.
So... I am at a new facility and they would like me to audit charges over last month.
There is one physician that never states catheter position in aorta with doing abdominal aortagrams and Bilateral LE run-offs. His dictation includes all the appropriate anatomy and vessels. On occassion he does dictate catheter positioned at infra renal for abdominal aortagram then gives full reports of abdominal aorta and then proceeds to report on ilacs femoral, popiteal ect... But never states catheter repostioned to area above iliac bifurcation.
I reviewed films and it does not that the catheter is repostioned. However there are seperate injections. Injection Abdominal Aorta only in multiple views. Then there is another injection for the bilateral run-off. So it appears to be one catheter position for both Abd and the BFA with run offs.
How would you code this.
Based on what I read in dictation it would be 76530
However this facility codes 75625 75716
When I discuss with staff the state becasue there are two different injections. Not one fluid injections.
Let me know you thoughts. I am discussing with physician to clearly didctate in the future appropriate catheter position. However I need to address this current charge/coding issue now since I am aware.
Any help would be appreicated.
My understanding of these codes is that the difference is cather placement.
75625 75716 two cather positions. Abd, move catheter then LE Run-Off
75630 one cather position Abd and run off from one positon.
So... I am at a new facility and they would like me to audit charges over last month.
There is one physician that never states catheter position in aorta with doing abdominal aortagrams and Bilateral LE run-offs. His dictation includes all the appropriate anatomy and vessels. On occassion he does dictate catheter positioned at infra renal for abdominal aortagram then gives full reports of abdominal aorta and then proceeds to report on ilacs femoral, popiteal ect... But never states catheter repostioned to area above iliac bifurcation.
I reviewed films and it does not that the catheter is repostioned. However there are seperate injections. Injection Abdominal Aorta only in multiple views. Then there is another injection for the bilateral run-off. So it appears to be one catheter position for both Abd and the BFA with run offs.
How would you code this.
Based on what I read in dictation it would be 76530
However this facility codes 75625 75716
When I discuss with staff the state becasue there are two different injections. Not one fluid injections.
Let me know you thoughts. I am discussing with physician to clearly didctate in the future appropriate catheter position. However I need to address this current charge/coding issue now since I am aware.
Any help would be appreicated.
