Wiki PERIPHERAL VASCULAR DIAGNOSTIC & INTERVENTION CODING

[mitzimarie2001@yahoo.com]

I work for a billing company and I do the medical billing for a cardiologist's professional services in a hospital setting; she sends me a copy of the Cath Lab report and she provides the CPT and diagnosis codes for the services. Many times I do not agree with the codes she provides. Below is an example of a Cath Lab procedure, and the CPT codes she provided to me. I am anxious to read your comments regarding her coding. **This is my first post on the Forum; I apologize if the formatting is off.**


These are the codes that she provided:
36140-XU
36200-XU
36246-XU
75625-26, 59
75710-26, 59
37221-LT

 

[mk2001]

I work for a billing company and I do the medical billing for a cardiologist's professional services in a hospital setting; she sends me a copy of the Cath Lab report and she provides the CPT and diagnosis codes for the services. Many times I do not agree with the codes she provides. Below is an example of a Cath Lab procedure, and the CPT codes she provided to me. I am anxious to read your comments regarding her coding. **This is my first post on the Forum; I apologize if the formatting is off.**

View attachment 7204
These are the codes that she provided:
36140-XU
36200-XU
36246-XU
75625-26, 59
75710-26, 59
37221-LT

Unless I missed it, I didn't see anything about an aortogram (36200 & 75625).
99152
99153 x 4
37221 (Cath placement is included)
37223
75710,26,59 (If a prior angiogram or CT angiogram was not performed)

 

[mitzimarie2001@yahoo.com]

Margaret, thank you for your reply. I bill for 2 cardiologists, and the difference between the two on the codes they supply for similar procedures is striking. And frustrating.

This cardiologist uses 36140-XU, 36200-XU, and either 36245-XU or 36246-XU or 36247-XU, on every peripheral vascular diagnostic & intervention she performs. She also tries to use 75625-26 and either 75716-26 or 75710-26 on every peripheral vascular diagnostic & intervention AND on every coronary diagnostic & intervention she performs. There are many other problems with her coding, as well.

About the 99152 and 99153... Whether I bill these or not, depends upon the insurance. Most of them will pay 99152, but I can only get a couple of Blue Cross plans to pay 99153. So few, in fact, that I've stopped billing it.

Thanks again.