I sometimes get confused if I can also code Radiology codes for angioplasties. When checking with the NCCI edit, adding in 75710 would be a conflict. Also not sure if it is conflicting to add in 75625.
From my understanding I thought revascularization procedures have radiological procedures included. I doubt a surgeon would just go ahead and angioplasty the lower extremity's arteries without any angiograms performed before starting a procedure.
This is the Case:
POSTOPERATIVE DIAGNOSIS: Left lower extremity peripheral vascular disease with disabling claudication.
PROCEDURES:
1. Ultrasound-guided access of right common femoral artery in retrograde approach with recording.
2. Aortogram and bilateral lower extremity angiogram.
3. Second order selective catheterization of left tibial vessels via a right-sided approach.
1. A left superficial femoral artery atherectomy, shockwave lithotripsy, angioplasty and stent placement 6 x 100 mm Eluvia drug-eluting stent.
I have placed the 37227 - Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed
75710- Angiography, extremity, unilateral, radiological supervision and interpretation
75625 - Aortography, abdominal, by serialography, radiological supervision and interpretation
Just needed someone to clarify because it is a constant back and forth with billers trying to explain even giving the NCCI Excel showing proof of "Misuse of column 2 and column 1" guidelines as to why certain CPT codes cannot be billed together since it will be unbundling.
If anyone has links or other sources to provide more information whether it is ok or not to add Radiology codes to a revascularization CPT code please reply; any input can help.
From my understanding I thought revascularization procedures have radiological procedures included. I doubt a surgeon would just go ahead and angioplasty the lower extremity's arteries without any angiograms performed before starting a procedure.
This is the Case:
POSTOPERATIVE DIAGNOSIS: Left lower extremity peripheral vascular disease with disabling claudication.
PROCEDURES:
1. Ultrasound-guided access of right common femoral artery in retrograde approach with recording.
2. Aortogram and bilateral lower extremity angiogram.
3. Second order selective catheterization of left tibial vessels via a right-sided approach.
1. A left superficial femoral artery atherectomy, shockwave lithotripsy, angioplasty and stent placement 6 x 100 mm Eluvia drug-eluting stent.
I have placed the 37227 - Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed
75710- Angiography, extremity, unilateral, radiological supervision and interpretation
75625 - Aortography, abdominal, by serialography, radiological supervision and interpretation
Just needed someone to clarify because it is a constant back and forth with billers trying to explain even giving the NCCI Excel showing proof of "Misuse of column 2 and column 1" guidelines as to why certain CPT codes cannot be billed together since it will be unbundling.
If anyone has links or other sources to provide more information whether it is ok or not to add Radiology codes to a revascularization CPT code please reply; any input can help.