Wiki 36245 and 75716 Help Please

[pooranibio]

HELP PLEASE!!

Procedures performed:
Subclavian Angiogram - 36225-50
Right & Left Heart Catheterization w/ bypass grafts - 93461
Coronary Angiography - 93461
Bypass Graft Study - 93461
Peripheral Angiography - 75716
Left Heart Catheterization w/ Bypass Grafts - 93461


Documentation:
· Chronic total occlusion of the mid LAD and mid Circumflex.
· Patent LIMA to LAD and SVG to Diagonal. Occluded SVG to OM2.
· Widely patent stents in the proximal-distal RCA with PDA-Circumflex collateral circulation.
· Severe stenoses of the distal left external iliac artery and distal right common iliac artery by sub-selective injection of the distal abdominal aorta. - 36245-RT and 36245-LT
· Mild stenoses of the bilateral distal subclavian arteries by selective injections of both vessels.
· Normal PA and PCW pressures.
· Left ventriculogram was deferred.

Can you please confirm whether my coding is correct? I am sure about all codes except 36245, 36246, and 75716.

36225-50, 93461-26, 75716, 36245-RT and 36245-LT

 

[mk2001]

HELP PLEASE!!

Procedures performed:
Subclavian Angiogram - 36225-50
Right & Left Heart Catheterization w/ bypass grafts - 93461
Coronary Angiography - 93461
Bypass Graft Study - 93461
Peripheral Angiography - 75716
Left Heart Catheterization w/ Bypass Grafts - 93461


Documentation:
· Chronic total occlusion of the mid LAD and mid Circumflex.
· Patent LIMA to LAD and SVG to Diagonal. Occluded SVG to OM2.
· Widely patent stents in the proximal-distal RCA with PDA-Circumflex collateral circulation.
· Severe stenoses of the distal left external iliac artery and distal right common iliac artery by sub-selective injection of the distal abdominal aorta. - 36245-RT and 36245-LT
· Mild stenoses of the bilateral distal subclavian arteries by selective injections of both vessels.
· Normal PA and PCW pressures.
· Left ventriculogram was deferred.

Can you please confirm whether my coding is correct? I am sure about all codes except 36245, 36246, and 75716.

36225-50, 93461-26, 75716, 36245-RT and 36245-LT

36225 is for a vertebral arteriogram taken with the catheter in the subclavian. 36216, 36215,59 & 75716 is for bilateral subclavian catheterization and imaging via femoral approach.
G0278 is for nonselective arteriograms of the iliac and/or femoral arteries performed together with cardiac catheterization. It includes catheter placement in the distal aorta, injection of dye, production of permanent images and radiologic supervision and interpretation.

Hope this helps!