Recent content by dhuston

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    Vent anterolateral wall aneurysm plication

    I need some help coding this part of the procedure! During the same encounter as a CABG... "At this time, the anterolateral wall was examined. It was noted to have a very significant weakness and thinned out wall, therefore plication was done with 2-0 prolene with pledgeted sutures. A base...
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    Saphenous Vein for CABG

    Thanks for confirming! Diane
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    Saphenous Vein for CABG

    Hi, I see a note in CPT before the 33510-516 and 33517-530 codes that the procurement of the saphenous vein graft is included. I also see CPT 33508 for endoscopic harvest of the saphenous vein for CABG. Can anyone explain what the note is referring to? Is open harvest included in CABG but...
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    Foley Cath in Cardiovascular Procedures

    Chapter 1 of the cci policies states that insertion of urinary catheters is included in a large number of procedures. Can anyone tell me if the foley cath insertion (when performed by the physician) is included in cardiovascular procedures, or is it separately billable with a 59 modifier...
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    35400 Primary Codes

    Hi, Can anyone tell me what the related or qualifying codes would be for cpt 35400? Thanks, Diane Huston, CPC
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    Vein to vein anastomosis in CABG

    Thanks Julie. I'm not in the office so maybe I don't have the wording right. One more question...if they have to join two pieces of the vein to make one bypass graft, is there anything to code for the extra work of joining those two pieces? Thanks for your help, Diane
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    Vein to vein anastomosis in CABG

    I'm new to this specialty and I'm trying to understand what's going on when the report says the aorta was punched and there was an end to end anastomosis of the vein. This is before they use the vein on the arteries being bypassed. Is there a code for this? Thanks for your help! Diane...
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    Superbill - Does anyone have a good Cardiovascular

    I'm new to this specialty and could really use a copy of your superbill also. Could you send one to medcoder@cox.net? Thanks so much! Diane Huston, CPC
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    Doppler Doucmentation

    I don't see a question/answer for May 5th and I don't think there's any set wording that you have to have for dopplers. You can't just say "flow" but the documentation should say something that indicates the spectral waveform analysis was done. Since the CPT description includes "arterial...
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    Circc - Do I need ICD9 Vol 1-3

    Do I need ICD9 Vol 1-3 for the test or just Vol 1-2? I do hospital based physician coding. Thanks, Diane Huston, CPC,RCC
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    Shunt Series Vs Shuntogram Coding

    Assuming that there is NO nuclear medicine injected for this, you should code the regular skull, chest, and abdomen x-ray codes. Diane Huston, CPC,RCC
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    Thrombolysis

    I think you can code both 37187 for the mechanical thrombectomy and 37201 for the infusion that was left overnight. Diane Huston, CPC,RCC
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    DX's for PICC for Total Parenteral Nutrition

    V58.81 Diane Huston, CPC,RCC
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    Consistent or Compatible with

    Apparently the Coding Clinic (or whatever the AMA's ICD9 publication is called) put out an article that said consistent with is not codeable. I think compatible with was always uncertain. But I find it interesting that the AMA didn't update the official diagnosis guidelines with the term...
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    Hepatic Artery Chemo-Embolization

    No, 37204 is the right code for this. It covers embolization by any method. Diane Huston, CPC,RCC
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