Category: CC-Vascular

Billing for Vascular Access
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Billing for Vascular Access

July 9, 2020 Question: I’m new to vascular coding, can we bill for vascular access for a catheterization? The provider documents this, so I’m thinking I am missing a code. Answer: No, vascular access itself is not separately billable with a catheterization. However, the provider must document if access was obtained on the same side...

Co-Surgery Due to Complex Procedure
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Co-Surgery Due to Complex Procedure

June 25, 2020 Question: I have 2 vascular surgeons from the same practice that want to bill co-surgery for a complex open abdominal aneurysm repair. They both performed the same code but say that it should be co-surgery because it was complex and needed both surgeons. Can we bill with modifier -62? Answer: The surgery...

Billing Additional Pre-Op Visit
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Billing Additional Pre-Op Visit

May 14, 2020 Question: Since we have to bring the patients back in for COVID testing and H&P for Joint Commission, can we bill for this visit even though it’s another pre-op visit? Answer: Yes, since the patient was rescheduled due to the pandemic and needs to be seen for a COVID swab prior to surgery,...

Billing Multiple Phone Calls
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Billing Multiple Phone Calls

April 30, 2020 Question: Can we bill telephone only (99441-99443) calls subsequently during the week (or the same day) for the same patient by the same provider or another provider of the same specialty within the practice if each call is documented properly? Answer: The following information is only for guidance during the current COVID-19...

Documentation Requirements
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Documentation Requirements

April 16, 2020 Question: What are the documentation rules for telehealth visits? Answer: Medicare now says that the appropriate E/M code for the telehealth visit (real-time audio and video) may be chosen based on Medical Decision Making (existing guidelines – not the new 2021 guidelines) or total amount of time. This is good news for...

Approved Telehealth Platforms
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Approved Telehealth Platforms

April 2, 2020 Question: Now that we aren’t limited to HIPAA compliant software, can we use any app or platform to conduct a telemedicine visit? Answer: You may use any app or platform that is not “public facing” according to HHS. Platforms such as Facebook Live, Twitch, and TikTok are considered public facing. Skype, FaceTime,...

Billing code 36200 with EVAR
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Billing code 36200 with EVAR

March 19, 2020 Question: I’m confused about how to code the catheterization with the new EVAR codes. We still do a bilateral catheterization of the aorta. Can we code 36200 bilaterally? Answer: The new EVAR codes, updated and completely changed in 2018, bundle the aorta catheterization with the main body placement, so 36200, non-selective arterial...

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