Arterial cutdown for carotid stent

brittany1356

Networker
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Rapid City, SD
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Hello.
My doctor performed a cutdown anterior to the sternoclediomastoid, and then a stent was placed percutaneously into the internal carotid atery. I am trying to find a code to bill for the cutdown. Because the stent was still placed purcutaneously I will still bill 37215. Any suggestions would be helpful.

Thank you :)

Brittany L, CPC-A
 

jewlz0879

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Richardson, TX
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I'm not sure you can bill for that. The only cutdown code I'm aware of is 34812 and that's for femoral artery cutdown. Maybe consider a 22 if he did the cutdown because of other problems preventing him from going percutaneous. Other than that, I would just bill the 37215.

HTH
 

dpeoples

True Blue
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Birmingham, Alabama
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I'm not sure you can bill for that. The only cutdown code I'm aware of is 34812 and that's for femoral artery cutdown. Maybe consider a 22 if he did the cutdown because of other problems preventing him from going percutaneous. Other than that, I would just bill the 37215.

HTH

I agree with Jewlz. There is no code for the cutdown, you would have to code unlisted. However, if you did bill a unlisted code, you would end up sending a report to the payor who may or may not agree the extra code was warranted. Trying modifier 22 is probably your best chance at additional reimbursement.

HTH :)
 
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