Wiki 2010 93556 and 75625

Create Wiki
L

Lisa Bledsoe

True Blue
Messages
2,037
Location
Greeley, Colorado
Best answers
0
I am working old claim denials from 2010. The previous coder coded as follows:
75625-26
93510-26
93545
93556-26
93543
93555-26

75625-26 is being denied as a qualifying procedure has not been received or paid.
Per CPT for 75625 report 93544 for the injection procedure (yes it is documented for the aorta and run-off). My question - Doesn't 93556 include 75625?

Thank you in advance...I don't have access to 2010 CCI edits to even give me a clue. :eek:
 
Lisa Curtis said:
I am working old claim denials from 2010. The previous coder coded as follows:
75625-26
93510-26
93545
93556-26
93543
93555-26

75625-26 is being denied as a qualifying procedure has not been received or paid.
Per CPT for 75625 report 93544 for the injection procedure (yes it is documented for the aorta and run-off). My question - Doesn't 93556 include 75625?

Thank you in advance...I don't have access to 2010 CCI edits to even give me a clue. :eek:
Click to expand...

Hi Lisa,
First, is this patient a Medicare patient? If it is, 75625 should then be G0275. There is no separate injection procedure for the abdominal aortogram, this is injection and S&I charge. Catheter placement is bundled into heart cath charges.

HTH,
Jim Pawloski, CIRCC
 
Thanks Jim. These are Medicare denials. What if it was a non-medicare patient? What would pe the correct code in that scenario?
I really appreciate your expertise! Thank you so much!
 
Lisa Curtis said:
Jim - not meaning to sound dumb...but G0275 says "renal angiography". Is that still applicable for aorta and bilateral run-off?
Click to expand...

G0275 says "Non-selective renal angiography. So the catheter is placed at the level of the renals and injected.
As for non-medicare, you use 75625 for the aortogram,and 75716 for complete lower extremity angiogram
HTH,
Jim
 
You must log in or register to reply here.
Top