Wiki unbundling cerebral aneurysm

[smclaughlinmd]

I an concerned about unbundling. Is it possible to bill for all of these CPT codes for a cerebral angiogram?
36245
75736
76377
75716
75716
75774
75898
36222
36223
26224
36225
36225
36226
36227
Thank you

 

[Jim Pawloski]

I an concerned about unbundling. Is it possible to bill for all of these CPT codes for a cerebral angiogram?
36245
75736
76377
75716
75716
75774
75898
36222
36223
26224
36225
36225
36226
36227
Thank you

No, that way to many codes. If you did a diagnostic exam of the bilateral internal carotids, bilateral vertebrals- selected, and external carotids- bilaterally, you would have six codes. They would be 36224 x 2 - selective internal carotids (can use rt or left or -50 for the modifiers, depending on what the payers want.), 36226 for the selective vertebrals, and 36227 for the selective external carotids. This includes all catheter work and imaging.

Thanks,
Jim Pawloski, R.T.(CV), CIRCC

 

[smclaughlinmd]

Thank you for your help.