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Old 11-26-2012, 07:56 PM
Jim Pawloski Jim Pawloski is offline
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Default Cerebral Arteriogram

Hi Everyone,

I coded a patient for a cerebral arteriogram who had a meningioma. The exam was for blood flow to the tumor which consisted of Bilateral Common Carotids, Bilateral Internal Carotids, Bilateral External Carotids, and Bilateral Vertebrals. Ten days later, the patient has a embolization of the vessels feeding the tumor. The doctor again selects Bilateral Internal Carotids, Bilateral External Carotids, Bilateral Vertebrals with angiography. He then selects a branch of the right vertebral, extracrainial, and performs embolization on the meningioma. My question/ confirmation is that I do not bill for the second diagnostic angio, since the patient had a previous angio (10 days earlier), and code just for the embolization. Where can I get documentation (I'm blanking out on this) for not billing the second diagnostic angio in case I asked for the documentation?

Thanks,
Jim Pawloski, CIRCC, R.T. (CV)
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Old 11-27-2012, 07:08 AM
dpeoples dpeoples is offline
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Quote:
Originally Posted by Jim Pawloski View Post
Hi Everyone,

I coded a patient for a cerebral arteriogram who had a meningioma. The exam was for blood flow to the tumor which consisted of Bilateral Common Carotids, Bilateral Internal Carotids, Bilateral External Carotids, and Bilateral Vertebrals. Ten days later, the patient has a embolization of the vessels feeding the tumor. The doctor again selects Bilateral Internal Carotids, Bilateral External Carotids, Bilateral Vertebrals with angiography. He then selects a branch of the right vertebral, extracrainial, and performs embolization on the meningioma. My question/ confirmation is that I do not bill for the second diagnostic angio, since the patient had a previous angio (10 days earlier), and code just for the embolization. Where can I get documentation (I'm blanking out on this) for not billing the second diagnostic angio in case I asked for the documentation?

Thanks,
Jim Pawloski, CIRCC, R.T. (CV)
Hi Jim,
Look in the CPT book, in the Vascular Procedures heading (before CPT 75600 in my book). Under the Heading Aorta and Arteries it states:"Diagnostic angiography (RS&I) codes should NOT be used with interventional procedures for": and goes on to list contrast injections, angiography, roadmapping etc. Maybe this will help.

Be advised, this in unpopular

HTH
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Danny L. Peoples
CIRCC,CPC
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Old 11-30-2012, 09:39 PM
Jim Pawloski Jim Pawloski is offline
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Originally Posted by dpeoples View Post
Hi Jim,
Look in the CPT book, in the Vascular Procedures heading (before CPT 75600 in my book). Under the Heading Aorta and Arteries it states:"Diagnostic angiography (RS&I) codes should NOT be used with interventional procedures for": and goes on to list contrast injections, angiography, roadmapping etc. Maybe this will help.

Be advised, this in unpopular

HTH
Thank you very much for your quick response.

Jim Pawloski, CIRCC
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