jtb57chevy
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I remain confused about when it is appropriate to bill for an angiography during a angioplasty+/or stent procedure. I learned the "basics" from a local IR coder and this person always billed an angio with either stent or PTA. However, I recently purchased the CIRCC study guide(would like to sit for the exam one day in the distant future) and, according to it, followup angios should not be billed unless there is medical necessity.
I'd appreciate any information, clarification, explanation anyone could give, so I can be confident of these procedures.
Here's an example:
After having informed consent obtained, the patient was brought to the catheterization suite in a fasting state. The patient's left groin was prepped and draped in normal sterile technique. The left groin area was anesthetized using 1% Lidocaine. Using a Mini Stick kit, the left common femoral artery was accessed and with an antegrade access stick, an exchange to a 6 French Arrow catheter was performed. PTA was performed using a 4 x 40 Powerflex to 10 bars. An exchange to a 7 French short Arrow sheath was then performed and cryo balloon PTA was performed in the distal and mid aspects of the blood vessel using a 6 x 40 Cryo balloon x 2 inflations in each segment. Following this, the patient had excellent angiographic results with reduction of the stenosis to less than 10% in each of these lesions with very significantly improved blood flow to the distal aspect of his foot. The patient was to have a Syvek used to help facilitate hemostasis.
My current code selection is 35474, 36245 and 75962-26.
Thanks for any and all help
I'd appreciate any information, clarification, explanation anyone could give, so I can be confident of these procedures.
Here's an example:
After having informed consent obtained, the patient was brought to the catheterization suite in a fasting state. The patient's left groin was prepped and draped in normal sterile technique. The left groin area was anesthetized using 1% Lidocaine. Using a Mini Stick kit, the left common femoral artery was accessed and with an antegrade access stick, an exchange to a 6 French Arrow catheter was performed. PTA was performed using a 4 x 40 Powerflex to 10 bars. An exchange to a 7 French short Arrow sheath was then performed and cryo balloon PTA was performed in the distal and mid aspects of the blood vessel using a 6 x 40 Cryo balloon x 2 inflations in each segment. Following this, the patient had excellent angiographic results with reduction of the stenosis to less than 10% in each of these lesions with very significantly improved blood flow to the distal aspect of his foot. The patient was to have a Syvek used to help facilitate hemostasis.
My current code selection is 35474, 36245 and 75962-26.
Thanks for any and all help