Category: Coding Coach

Intraoperative ICG Dye Angiography
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Intraoperative ICG Dye Angiography

May 28, 2020 Question: Can we bill the 92242 for the indocyanine green injection intraoperatively, for example to assess perfusion after a colectomy or other abdominal procedure?  Can we bill for the injection using 15860? Answer: No, this service is included in primary surgery and not separately reported. *This response is based on the best...

Genicular Nerve RFA
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Genicular Nerve RFA

May 29, 2020 Question: I’m new to coding. What code would I use for radiofrequency ablation of the genicular nerve? Answer: You’re in luck! There is a new code in 2020: 64624 Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed. The code includes destruction (e.g., chemical means, radiofrequency ablation) of all...

DIEP Co-Surgery
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DIEP Co-Surgery

May 28, 2020 Question: Hello! I have a plastic surgery question. I perform DIEP surgeries and when I do a bilateral DIEP I have a colleague scrub with me, and one of us will do the belly dissection while another does the chest dissection. We are both plastic surgeons. At my previous institution we were...

VEPTR Insertion and Lengthening
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VEPTR Insertion and Lengthening

May 28, 2020 Question: What is the correct code to report for the insertion and subsequent lengthening of the VEPTR device? Answer: VEPTR is the abbreviation for Vertical Expandable Prosthetic Titanium Rib Currently there are no codes for this procedure, where the device is typically attached to the ribs, spine or pelvis. Report an unlisted...

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Coding Coaches