Thanks, for the information. I have reviewed the material. I am still working on the previous denial.
In the meantime I have received another denial on 75716 as a bundled. It was billed with 36247, 75630, and 75716. So, this goes along with what you were saying before at with the 75630 because it is includes the extremity run off. I have been coding them together without any issues up until now. If a 75625 was done could I code the 75716 or 75710 ?
Yes it is denied because 75630 and 75716 can not be coded together and there is a CCI edit. 75630 is for single cath placement in the aorta with extremity run off.
75625 – Aortography, abdominal, by serialography, radiological supervision and interpretation
75630 – Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation
75710 – Angiography, extremity, unilateral, radiological supervision and interpretation
75716 – Angiography, extremity, bilateral, radiological supervision and interpretation
So if the provider moved the cath twice for example; in the aorta for aortagram and then moved to the bifurcation for bi-lateral lower extremity complete study then yes it would 75625 & 75716. If instead of documenting a bilateral lower extremitie the provider only documented the aortagram and left lower extremity study 75625 & 75710 would be used.
I think you should check out Zhealth publishing if you are coding these studies. There is an e-learning course for $50.00 that I think you would find extremely helpful for this area of coding. Also includes a short test and the end and CEU.
http://zhealthpublishing.com/coding-products/elearning-courses
[h=2]
2017 - CPT Coding for Abdominal Aortography and Lower Extremity Angiography[/h]
Learn More about this Product
This course includes coding instructions for imaging of the abdominal aorta and the extremity arteries whether performed in combination or separately. Both selective and non-selective imaging procedures are explained in detail. Numerous actual case examples are presented to assist in coding from the physician documentation.
Hope this helps
Misty Sebert CPC, CCC, CCVTC