Wiki Endovascular Revascularization

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ctennant

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Hello,

I am hoping someone can help me. I am reviewing some charges and came across a patient that had a successful PTA with Atherectomy of the right popliteral artery and was coded as a 37225 but they added on the abdominal aortogram 75625 I thought all radiological S & I directly related to the intervention was inclusive/bundled?

Is there something I am missing?

any help would be appreciated

TIA
 
smartin1813

It can be seperately reportable if no prior catheter based angiographic study is available and a full diagnostic study is performed, and the decision to intervene is based on the diagnostic study, OR

A prior study is available, but as documented in the medical record:
a. Pt's condition with respect to the clinical indication has changed since the prior study OR
b. There is inadequate visulizaton of the anatomy or pathology, OR
c. There is a clinical change during the procedure that requires new evaluatin outside the target area of intervention.

If criteria is met, you can use it and add a 59!
 
The previous post is absolutely correct regarding adding the -59.

But in addition, 75625 is for the S&I for the abdomen, not for the lower extremity, so it does not even require a -59, it is not bundled into the atherectomy of the LE from my experience.

Hope this helps.

Heather Shaw-Hickman, CPC, CIRCC, CCVTC
 
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