Radiology Coding Alert

CPT® 2013:

36221 to +36228 Shake Up Carotid and Vertebral Angiography in the New Year

Heed the hierarchy, or denials are guaranteed.One of the biggest coding changes radiology practices will face in 2013 is a new series of codes specific to cervicocerebral angiography. Anatomically, these codes relate to vessels in the neck and head, says Terry A. Fletcher, BS, CPC, CCS-P, CCS, CEMC, CCC, CMSCS, CMC, of California-based Terry Fletcher Consulting. 2012 comparison: The new codes each include angiography and radiological supervision and interpretation (RS&I). This is a significant shift from 2012 coding, which required separate codes for catheter placement and RS&I, Fletcher notes. Because of this change, CPT® 2013 will delete angiography codes 75650 and 75660-75685 for the carotid, cerebral, vertebral, and cervical arteries, says Julie Graham, BA, CPC, coder and compliance specialist for Concentra in Texas.What's included: Codes 36221-36226, which are primary rather than add-on codes, include vessel access, catheter placement, any contrast injections, fluoroscopy, RS&I, and arterial closure by pressure or device. [...]
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