Category: Vascular

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Refresh your Referral Building

Physicians Practice – August 22, 2018 by Karen Zupko Years ago, a “good referral” was described using the Three A’s of medicine: Availability, Affability, and Ability. A physician striving to build a successful practice was advised to deliver all three. Managed care contracts and narrow networks temporarily stifled traditional referral building. But the patient rebellion...

Coding Catherization’s with Interventions
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Coding Catherization’s with Interventions

August 9, 2018 Question: Are there any peripheral interventions that still allow separate coding of catheterization in addition to the intervention? Answer: Yes, there are. Code that allow separate reporting of catheterization include: Non- lower extremely, stenting, angioplasty, for example visceral and upper extremity Venous stenting and angioplasty Embolization Thrombolysis and thrombectomy Diagnostic angiograms and...

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Coding Embolization of a Dialysis Graft/Fistula – Part 2

July 26, 2018 Question: How many times can embolization of collateral vessels be reported at a single session?  The documentation supports embolizing several. Answer: Embolization of side branches in the dialysis circuit is coded with the add-on code +36909, Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins)), endovascular, including...

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Coding Embolization of a Dialysis Graft/Fistula – Part 1

July 12, 2018 Question: The documentation indicates embolization of side branches/collateral vessels to help the dialysis graft mature. I’ve always coded it with the embolization code, 37241.  Is this correct? Answer: In 2017, new codes for embolization of the side branches emptying into the dialysis circuit were established. Code 37241 is no longer appropriate for...

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Billing Visceral Angiograms

June 28, 2018 Question: Are visceral angiograms billed once, no matter how many visceral vessels are catheterized and imaged? Answer: No.  If more than one visceral vessel is selectively catheterized and imaged, code 75625 is reported for each vessel catheterized and imaged. Remember that an aortogram is included in any visceral angiogram.  However, each catheterization...

Billing Diagnostic Angiograms and Lower Extremity Interventions
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Billing Diagnostic Angiograms and Lower Extremity Interventions

June 14, 2018 Question: I was told that diagnostic angiograms are always included in iliac, femoral and tibial angioplasty and stents. Is that true? Answer: No. Diagnostic angiograms with lower extremity revascularizations, are separately reported as long as the patient has not had a recent, adequate diagnostic angiogram.  For CPT this means a catheter based...

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