suela923@aol.com
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I know that the code 37191 is all inclusive for an IVC Filter insertion, but what if at the same time an iliac venogram was done?
A right iliac venogram was performed and demonstrated no evidence of thrombus within the proximal external iliac vein or common illiac vein. The distal inferior vena cava looked normal. The inferior venal caval filter deployment system was then inserted. An inferior venacavogram was performed and showed a normal-appearing inferior vena cava. No duplication or significant retroperitioneal collateral formation was demonstrated. A Celect inferior vena caval filter was then deployed below the level of the renal veins within the inferior vena caval Follow up venacavagram demonstrated excellent position of the filter.
I am not sure if the right iliac venogram should just be considered part of the all inclusive work of if it's billable by itself. It's not normal to do this when doing a filter insertion. All the other venocavagrams would be considered part of the inclusive code.
Any thoughts on this? Thanks!!!
Sue
A right iliac venogram was performed and demonstrated no evidence of thrombus within the proximal external iliac vein or common illiac vein. The distal inferior vena cava looked normal. The inferior venal caval filter deployment system was then inserted. An inferior venacavogram was performed and showed a normal-appearing inferior vena cava. No duplication or significant retroperitioneal collateral formation was demonstrated. A Celect inferior vena caval filter was then deployed below the level of the renal veins within the inferior vena caval Follow up venacavagram demonstrated excellent position of the filter.
I am not sure if the right iliac venogram should just be considered part of the all inclusive work of if it's billable by itself. It's not normal to do this when doing a filter insertion. All the other venocavagrams would be considered part of the inclusive code.
Any thoughts on this? Thanks!!!
Sue