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Wiki cardiology

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jesusrocks

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My doctor is billing the following codes ,but I need to know what to bill on the following.

Peripheral sheet billed codes 36247,35474 and 75962,37205 and 75960, 75630, 75710, then he wants to bill (mechanical thromboectomy with ?possis angiojet.).Whats the CPT code for that and can it be billed with the above codes.

Thanks Debbie Kennedy, CPC
dkennedy@cardassoc.com
 
sounds like it would be 37184 (Primary percutaneous transluminal mechanical thrombectomy, noncoronary, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); initial vessel), but without a report I can't tell you for sure.

I'm not sure about the 75630/75710 combo...75630 includes the abdomen and bilateral lower extremities. If the abdomen was done and then the catheter "pulled down to the bifurcation" to image the lower extremities, I would break it up into 75625 and 75716 or 75710. Then with the stent(75960)and angioplasty(75962) you would need a -59 on the 75716 or 75710.
 
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