Wiki Lower extremity angio

[Kellylloyd]

Need some help with codes please, new to this

procedures performed
#1. Ultrasound-guided left common femoral access
#2 selective left lower extremity angiography
#3 selective aortography
#4 selective right lower extremity angiography
#5 selective infrapopliteal angiography with the catheter at the distal popliteal proximal TP trunk
#6 intravascular ultrasound of the proximal tibioperoneal trunk
#7 intravascular ultrasound of the right popliteal and SFA
#8 Phoenix atherectomy 2.2 device of the right SFA
#9 balloon angioplasty with a 6 x 100 mm balloon to mid to distal right SFA
#10 5.5 x 120 mm Abbott supera stent
#11 selective left common femoral artery closure with minx closure device

 

[megg1100]

Help

It is not possible to code this without an OP report, but I will give you some guidance about where to look.

1. 76937 is used for US guidance for vascular access. See CPT code description for billing requirements as all must be met to use the code.
2-5 Angio is billed based on catheter placement and reason for imaging. It cannot always be billed with interventions. There are guidelines available in the radiology section. DO NOT code for catheter selection in the same vessel as an intervention. Also, I would query the physician about the selective aortography. The Aorta is a non-selective vessel. See appendix L regarding vascular families.
6-7 see guidelines for 37252 and 37253
8-10 see 37227. There is a whole page of guidelines in this section. Memorize them!
11 Closure is not separately billable with interventions.

Peripheral coding is very complex and If you have no one available to teach you, I recommend investing in some books.

I hope this helps

 

[Kellylloyd]

Thank you!