Hello. We are having a disagreement with the nurse in regards to coding this sclerotherapy. I need some more opinions. Here is the report.
Sclerotherapy to left leg
Incompetent Cockett's perforator is located in the upper medial calf using ultrasound guidance. A 25 guage needle was placed into the perforator with ultrasound guidance. Sclerotherapy was performed to the incompetent perforator using 1 cc of 3% Socium Tetradecyl sulfate foam with 5 cc of CO@ Compression dressing was applied with ACE wrap.
In addition to 36470, the nurse says we should bill 93971 (the first sentence suppports that) and 76942 (the second sentence supports that). I agree with 76942, but to bill 93971, we need a separate report.
She gave me an article from a vein magazine that advises you to code 93971 because you have to map the leg, especially in a case of a perforator. I say fine, but there needs to be a separate report. What do you all think? Thank you Debby
Sclerotherapy to left leg
Incompetent Cockett's perforator is located in the upper medial calf using ultrasound guidance. A 25 guage needle was placed into the perforator with ultrasound guidance. Sclerotherapy was performed to the incompetent perforator using 1 cc of 3% Socium Tetradecyl sulfate foam with 5 cc of CO@ Compression dressing was applied with ACE wrap.
In addition to 36470, the nurse says we should bill 93971 (the first sentence suppports that) and 76942 (the second sentence supports that). I agree with 76942, but to bill 93971, we need a separate report.
She gave me an article from a vein magazine that advises you to code 93971 because you have to map the leg, especially in a case of a perforator. I say fine, but there needs to be a separate report. What do you all think? Thank you Debby