I am seeking some opinions and advice.
I code procedures for the Cath Lab and IR in a the hospital setting. I am looking for advice for Abdominal Aortagram Bilateral Extremity and Carotid angiograms from the same access site, in the same setting by the same physician. I have been getting requests from the Revenue Management Department the Medicare claims are not processing due to missing surgical codes. Apparently when the account is billed there is a Medicare error that is activated that states procedures are missing surgical codes and specifies CPT code 75725 and 75716. I am being asked to asked the surgical code in order for the bill to be processed. I feel this is not appropriate.
The procedure that this comes up with is when Abdominal Aortagram with Bilateral Extremities is performed at the same time of carotid angiograms. (or just a thoracic arch or great vessels).
This is was is coded.
75625
75716
36223-50
36225
Sometimes
75716
75725
36221
RMD is requesting that I add 36200 in order to process the bill.
I believe CPT code 36200 is part of the other codes (36221,36223,36225) and by adding 36200 with a charging/coding double. Has anyone else experienced this or am I misunderstanding the situation.
The procedure consists of femoral access. Pigtail to level or renals with Abdominal Aortagram, then catheter moved to the area above iliac bifurcation with Bilateral lower extremity Angiogram from iliacs to the feet. Then the catheter is move to the to each subclavian/innominate for the carotid/vertebral angiograms.
I would appreciate your thoughts.... This facility is using 3M encoder software I have requested what message they are received for this software but have not received a reply back yet.
I code procedures for the Cath Lab and IR in a the hospital setting. I am looking for advice for Abdominal Aortagram Bilateral Extremity and Carotid angiograms from the same access site, in the same setting by the same physician. I have been getting requests from the Revenue Management Department the Medicare claims are not processing due to missing surgical codes. Apparently when the account is billed there is a Medicare error that is activated that states procedures are missing surgical codes and specifies CPT code 75725 and 75716. I am being asked to asked the surgical code in order for the bill to be processed. I feel this is not appropriate.
The procedure that this comes up with is when Abdominal Aortagram with Bilateral Extremities is performed at the same time of carotid angiograms. (or just a thoracic arch or great vessels).
This is was is coded.
75625
75716
36223-50
36225
Sometimes
75716
75725
36221
RMD is requesting that I add 36200 in order to process the bill.
I believe CPT code 36200 is part of the other codes (36221,36223,36225) and by adding 36200 with a charging/coding double. Has anyone else experienced this or am I misunderstanding the situation.
The procedure consists of femoral access. Pigtail to level or renals with Abdominal Aortagram, then catheter moved to the area above iliac bifurcation with Bilateral lower extremity Angiogram from iliacs to the feet. Then the catheter is move to the to each subclavian/innominate for the carotid/vertebral angiograms.
I would appreciate your thoughts.... This facility is using 3M encoder software I have requested what message they are received for this software but have not received a reply back yet.