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

Reply
 
Thread Tools
  #1  
Old 04-22-2011, 01:31 PM
daniel daniel is offline
True Blue
 
Join Date: Apr 2007
Posts: 518
daniel is an unknown quantity at this point
Default Cath-Fluoroscopy (Mechanical Valve)

How is coded?

And is the Cath reported separatly?


I see CPT 71023-71034 fit what I'm looking for, but is the cath reported in addtion to any of these two codes.

Thanks
Daniel,CPC
Reply With Quote
  #2  
Old 04-26-2011, 03:18 AM
theresa.dix@ethc.com theresa.dix@ethc.com is offline
True Blue
 
Join Date: Apr 2007
Posts: 511
theresa.dix@ethc.com is on a distinguished road
Default

Quote:
Originally Posted by daniel View Post
How is coded?

And is the Cath reported separatly?


I see CPT 71023-71034 fit what I'm looking for, but is the cath reported in addtion to any of these two codes.

Thanks
Daniel,CPC
Not quite sure why you would use the 71023? Never used that before why dont you post the report if you want to and let us see what the dr did.
__________________
Theresa CCS-P CCP CPMA CCC ICDCT-CM
Reply With Quote
  #3  
Old 04-26-2011, 01:30 PM
daniel daniel is offline
True Blue
 
Join Date: Apr 2007
Posts: 518
daniel is an unknown quantity at this point
Default

So you've used CPT 71034 for this type of procedure.

Is the Cath inclusive to this?
Reply With Quote
  #4  
Old 04-27-2011, 04:00 AM
theresa.dix@ethc.com theresa.dix@ethc.com is offline
True Blue
 
Join Date: Apr 2007
Posts: 511
theresa.dix@ethc.com is on a distinguished road
Wink

Quote:
Originally Posted by daniel View Post
So you've used CPT 71034 for this type of procedure.

Is the Cath inclusive to this?

nope not 71034 either.
__________________
Theresa CCS-P CCP CPMA CCC ICDCT-CM
Reply With Quote
  #5  
Old 04-27-2011, 04:12 PM
daniel daniel is offline
True Blue
 
Join Date: Apr 2007
Posts: 518
daniel is an unknown quantity at this point
Default

Your to funny.

I don't have the O.P report as of now. The doctor is on vaction, so I can't post it here.
So do have any direction on this procedure?

This is what I've found per supercoder..

Question: Is there a code for fluoroscopy of the mitral valve with a heart catheterization? The report states, “Fluoroscopy of the mitral valve shows normal mitral valve leaflet motion in multiple views.” Codes 71023 and 71034 specify the number of views. Should I use 76000 or is this study included in the catheterization? Can you explain why?



West Virginia Subscriber



Answer: You should use 71023 (Radiologic examination, chest, two views, frontal and lateral; with fluoroscopy) and 71034 (Radiologic examination, chest, complete, minimum of four views; with fluoroscopy) when the physician performs radiological chest exams, with either two views or a minimum of four views. These codes are not appropriate for the fluoroscopy of the mitral valve. Code 76000 (Fluoroscopy [separate procedure], up to one hour physician time, other than 71023 or 71034 [e.g., cardiac fluoroscopy]) is a radiographic technique that provides images of tissues or deep structures of the body by the use of fluoroscopy. This fluoroscopy is usually a component of a more complex procedure and is not identified separately.



And, 76000 is included in the left heart catheterization code 93510 (Left heart catheterization, retrograde, from the brachial artery, axillary artery or femoral artery; percutaneous), according to the National Correct Coding Initiative (NCCI). NCCI states that code 76000 has a superscript number 0, indicating that 76000 may never be reported separately with a heart catheterization code
Reply With Quote
  #6  
Old 05-02-2011, 11:32 AM
daniel daniel is offline
True Blue
 
Join Date: Apr 2007
Posts: 518
daniel is an unknown quantity at this point
Default Here's the op report

Procedure performed: Mechanical mitral valve fluorscopy

Indication: The patient is a 48 yr old man with hx of mechanical mitral valve replacment. The valve is poorly seen on echocardigraphy. She is referred for fuoroscopy to assess valve leaflet motion in this patient hopsitalized for heart failure and atrial fibrillation.

Procedure: Flurosocpy of the mechanical mitral valve was performed in multiple projections.

Results: There is normal bileaflet motion of the mechanical mitral valve with nomral excursion and complete closure of both leaflets.

Summary: By fluroscopy, normal valve motion of the mechanical mitral valve.
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 03:25 AM.

AAPC - Top

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