Wiki 75716

[kbritt77]

Aortogram higher and lower on a patient with a ipsilateral amputation. Can we bill 75716?

 

[donnajrichmond]

Aortogram higher and lower on a patient with a ipsilateral amputation. Can we bill 75716?

If all you did was an aortogram, then you wouldn't code 75716.

 

[kbritt77]

Patient had a BKA on the left. We stuck the left and treated the right leg with Atherectomy. Our question is do we code a 75716 or 75710? We are told that if we imaged the bifurcation we can bill out a 75716.

 

[donnajrichmond]

Patient had a BKA on the left. We stuck the left and treated the right leg with Atherectomy. Our question is do we code a 75716 or 75710? We are told that if we imaged the bifurcation we can bill out a 75716.

Questions to consider/ask:
1) were permanent images of the left iliofemoral area taken
1) was imaging of the left leg ordered?
2) was it medically necessary?

If the imaging on the left side was just because it was there and some of the contrast was going to flow down that way so we might as well look - then code only 75710 for the right leg imaging.
If the imaging on the left side was comparison - then code only 75710.
If the imaging on the left side was done to make sure it was okay to use a closure device - code only 75710.
If the imaging was all roadmapping, or if the patient had already had an angiogram and were really just there for the atherectomy, don't code any imaging.

If the imaging on the left was medically necessary due to clinical indication, and is documented as diagnostic, and based on the findings it was determined that no intervention was needed on the left side, then you can code 75716.

 

[kbritt77]

Thank you.