Category: CC-Vascular

Dialysis Circuit Revision
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Dialysis Circuit Revision

October 29, 2020 Question: My vascular surgeon performed a dialysis circuit open revision, and had to remove subcutaneous fat during the procedure. He said this was a more complex procedure than usual, so is there another code to use besides 36832? Answer: Removing excess subcutaneous fat is included in the work for 36832, so this...

Billing Separately for Diagnostic Angiograms
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Billing Separately for Diagnostic Angiograms

October 15, 2020 Question: Our surgeon performed an aortogram with run-off to bilateral lower extremities. He then performed interventions in the left SFA and the left peroneal arteries. My question is regarding documentation of the diagnostic imaging Can he also bill for a diagnostic angiogram? What about catheterization to get there? Answer: Diagnostic imaging during...

Confusion About New 2021 E/M Guidelines
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Confusion About New 2021 E/M Guidelines

October 1, 2020 Question: The new guidelines that are coming out in 2021 for all types of E/M services, right? Answer: No. The new guidelines are for office/outpatient visit codes only (99202-99215). You will still need to use the current guidelines for all other E/M services, even consultations in the office. *This response is based...

Overreading a Diagnostic Imaging Study
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Overreading a Diagnostic Imaging Study

September 17, 2020 Question: I sent a patient out to the hospital for a CTA and the patient brought in the actual images and the radiologist’s report for me to review. Can I charge 76140 (Consultation on X-ray examination made elsewhere, written report) when I personally interpret those images and write my own report? Answer:...

2021 EM Guidelines: Only for Medicare?
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2021 EM Guidelines: Only for Medicare?

September 3, 2020 Question: I work with a surgeon and we see just a few Medicare patients. The surgeon believes the revised 2021 E/M guidelines will not impact our office practice because of our low Medicare volume. Is this correct? Answer: This is not correct, but it is a common misconception. The revised documentation requirements...

Billing for Lesion Intervention Crossing Territories
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Billing for Lesion Intervention Crossing Territories

August 6, 2020 Question: Our vascular surgeon documented a single intervention for a lesion that crosses the margin between the fem/pop and tibial/peritoneal territories. Should we bill one code or one for each territory? Answer: You would bill one code since a single intervention was performed. *This response is based on the best information available...

Angiogram Billing for All Vessels Viewed
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Angiogram Billing for All Vessels Viewed

July 23, 2020 Question: Can we bill for all vessels mentioned if they are documented within the angiogram? Answer: No. You should only bill for vessels that are targeted and are medically necessary. Documentation alone doesn’t always mean that procedures are separately billable. *This response is based on the best information available as of 07/23/20.

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...

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