Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > Interventional Radiology
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 05-27-2009, 08:54 AM
yjwallace yjwallace is offline
New
 
Join Date: Apr 2007
Posts: 7
yjwallace is on a distinguished road
Default Cerebral Carotids verus Cervical Carotids

Hi,

I am new to IR coding. I am wondering if there are anatomical landmarks to determine whether cervical verus cerebral carotids angiograms are taken or both. CPT codes 75676 and 75680 verus 75665 and 75671. Or does it have to state in the report cervical carotids angiogram taken and cerebral carotids angiogram taken

Thanks,
Yolanda Wallace CPC-A, CPC-H-A
Reply With Quote
  #2  
Old 05-27-2009, 09:38 AM
sgochoco sgochoco is offline
Networker
 
Join Date: Apr 2007
Posts: 27
sgochoco is on a distinguished road
Default Cervical vs Cerebral

The internal carotid is the vessel that goes up into the cerebral area. so an interpretation of the Internal carotid will be a Cerebral study. An interpretation of the Common Carotid will be Cervical. If the report does not state either, you should be able to determine which study is performed by the interpretation mentioned above.


Reply With Quote
  #3  
Old 05-27-2009, 07:47 PM
dhuston dhuston is offline
Guru
 
Join Date: Apr 2007
Posts: 110
dhuston is on a distinguished road
Default

If I'm coding cerebral angiograms, generally speaking I'd like to see mention of some cerebral arteries. But maybe the internal carotid is obstructed before it gets to cerebral arteries so they can't be seen. I think the answer could vary depending on the situation.

Diane Huston, CPC,RCC
Reply With Quote
  #4  
Old 05-29-2009, 02:45 PM
dpeoples dpeoples is offline
True Blue
 
Join Date: Apr 2007
Location: Birmingham, Alabama
Posts: 844
dpeoples is on a distinguished road
Default

Quote:
Originally Posted by yjwallace View Post
Hi,

I am new to IR coding. I am wondering if there are anatomical landmarks to determine whether cervical verus cerebral carotids angiograms are taken or both. CPT codes 75676 and 75680 verus 75665 and 75671. Or does it have to state in the report cervical carotids angiogram taken and cerebral carotids angiogram taken

Thanks,
Yolanda Wallace CPC-A, CPC-H-A

Although the internal carotids can be considered cerebral/intracranial arteries, I do not consider an interpretation of those arteries alone enough to justify ctp 75665/75671. It all depends on what is documented. I consider interpretation of the internal carotids "cervical" unless other cerebral arteries are mentioned, especially the anterior cerebral or beyond.

I hope this helps.
__________________
Danny L. Peoples
CIRCC,CPC
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 06:40 PM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC