Category: Vascular

OOOPs. I nicked a vessel. Can I bill for repairing it?
Post

OOOPs. I nicked a vessel. Can I bill for repairing it?

May 23, 2019 Question: The surgeon accidentally nicked a vessel not involved in the bypass being performed, can he bill for repair of vessel since he had to repair it? Answer: Iatrogenic, intraoperative complications that are repaired at the same operative session are not separately reported. Since the vessel laceration was an iatrogenic injury, inadvertently...

E-Consults?
Post

E-Consults?

April 11, 2019 E-Consults? Question: One of my colleagues told me that she was doing e-consults with other physicians for Medicare and getting paid.  Is this a billable service? Answer: Yes!  Medicare has added CPT codes 99446-99452 for interprofessional/ telephone/internet/electronic health record (EHR) consultations to the fee schedule, so they are now payable services.  These...

Modifier 78 vs 59
Post

Modifier 78 vs 59

March 28, 2019 Question: What modifier do we use if a patient is returned to the OR the same day as the original surgery for post-op hemorrhage? Isn’t it 78 for this complication? Answer: Modifier 78 is a global period modifier and the global period begins on post-op day one. So it is not appropriate...

Global Period for Debridement
Post

Global Period for Debridement

March 14, 2019 Question: I thought the global period of debridement of muscle or bone was 10 days. Is that true?  Answer: The debridement codes were revised in 2011 and the global period for all codes (11042-11047) was revised to 0 days. *This response is based on the best information available as of 3/14/19.

Debridement Coding
Post

Debridement Coding

February 28, 2019 Question: If 10 sq. cm subcutaneous tissue is debrided from the right leg and 20 sq. cm is debrided from the left leg, is it coded as 11042 and 11042-59 or 11042 RT and 11042 LT? Answer: If debridement is performed at the same depth of tissue (all subcutaneous tissue) it is...

Co Surgeon or assistant?
Post

Co Surgeon or assistant?

January 31, 2019 Question: A vascular surgeon is requested to come to the OR to repair a blood vessel that my surgeon inadvertently nicked during a colectomy. Is he a co-surgeon or assistant on the case? Answer: Neither. The vascular surgeon will report his work, repair of vessel, and you will report yours. *This response...

Fem- Fem Bypass
Post

Fem- Fem Bypass

January 17, 2019 Question: How is a left femoral to right femoral artery bypass with PTFE reported? Answer: Report code 35661, Bypass graft, with other than vein, femoral- femoral. This code applies to fem-fem bypass in the same leg or from one leg to the opposite leg. *This response is based on the best information...

Embolization and Catheterization
Post

Embolization and Catheterization

December 13, 2018 Question: I was told catheterization is included in the embolization codes, 37241-37244. Is that correct? Answer: No, per CPT catherization is separately reported with all the embolization codes, 37241- 37244. *This response is based on the best information available as of 12/13/18.

Sign up for KZAlertsSign up for KZAlerts

Coding Coaches