Wiki DX codes for 37205/36010/37250

[valariej]

I am having great difficulty finding the correct DX code for the procedures listed above. The Physician is doing a Intravascular U/S of inferior vena cava; bilateral common iliac vein; bilateral external iliac veins and bilateral common femoral veins. Also performed stent insertion, left common iliac vein; wall stent, stent insertion; left external iliac vein - wall stent; stent insertion; left common iliac vein - wall stent. also stent insertion right common iliac vein, wall stent; stent insertion right external iliac vein, wall stent and stent insertion right common femoral vein, wall stent.

Findings: left common iliact stenosis; left external iliac vein stenosis; left common femoral vein stenosis; right common iliac vein stenosis; right external iliac vein stenosis; and right common femoral vein stenosis. Pre-px DX: chronic venous hypertension w/inflammation and leg swelling.

I cannot find any compatible codes for Medicare that cover the veins.

Dr. billed:
37205, 75960, 36010, 37206, 75960, 36010, 37206, 75960, 37206, 75960, 37206, 75960, 37206, 75960, 37206, 75960 and

37250, 75945, 37251, 75946, 37251, 75946, 37251, 75946, 37251, 75946, 37251, 75946, 37251, 75946 and

76937

All 76xxx codes have modifier -26 attached.

Any insight would be greatly appreciated!

 

[pheeprice]

I can see why you had trouble. My friend and I looked and looked. She has 25 years of experience in coding. We are pretty sure that 459.81 Venous Peripheral Insufficiency (unspecified) would cover those diagnoses. Hope this helps. Take care.

 

[lavanyamohan]

I am having great difficulty finding the correct DX code for the procedures listed above. The Physician is doing a Intravascular U/S of inferior vena cava; bilateral common iliac vein; bilateral external iliac veins and bilateral common femoral veins. Also performed stent insertion, left common iliac vein; wall stent, stent insertion; left external iliac vein - wall stent; stent insertion; left common iliac vein - wall stent. also stent insertion right common iliac vein, wall stent; stent insertion right external iliac vein, wall stent and stent insertion right common femoral vein, wall stent.

Findings: left common iliact stenosis; left external iliac vein stenosis; left common femoral vein stenosis; right common iliac vein stenosis; right external iliac vein stenosis; and right common femoral vein stenosis. Pre-px DX: chronic venous hypertension w/inflammation and leg swelling.

I cannot find any compatible codes for Medicare that cover the veins.

Dr. billed:
37205, 75960, 36010, 37206, 75960, 36010, 37206, 75960, 37206, 75960, 37206, 75960, 37206, 75960, 37206, 75960 and

37250, 75945, 37251, 75946, 37251, 75946, 37251, 75946, 37251, 75946, 37251, 75946, 37251, 75946 and

76937

All 76xxx codes have modifier -26 attached.

Any insight would be greatly appreciated!

Reply-
If you bill 37206 and 36010 for the same day, you will still get claims coming back. Code 36010 which includes stent placement -bundled.

Dx-peripheral angiopathy - 443.9
This is the common cause for inflammation of vessels that can be inferred from ultrasounds.

 

[annakilker]

Chronic venous hypertension with inflammation

The Dx code is 459.32, but I believe the stenting codes 37205 & 37206 are for artery stenting and not veins. I may be wrong. I am new at endovascular coding and looking for information all the time. I am trying to code bilateral stenting of common liac arteries and external iliac arteries, do you have any pointers for me. I wondered if you could use 37205 initial stenting if you are doing the opposite side? So far I think I will just code 37205 RT 37206 LT 37206 RT-59 37206 LT-59 I hope you were able to get your question answered by someone knowledgeable, I am still looking for references for all of this PTA and stenting stuff.

 

[dhuston]

I think 459.2 compression/stricture of vein is covered by Medicare.

Diane Huston, CPC,RCC