roshrom
New
I would sincerely appreciate if a certified IRR coder/Vascular coder could help someone very rusty on this type coding verify my code choices, please/
I cannot re-copy op note itself, but I verified with thorough op note read these procedures were done as the MD listed them here:
1. Left Lower extremity Third Order angiography 36247-LT
2. Left Lower extremity Third Order angiography S&I 75716 LT
( he cannulated down to anterior tibula artery see note at bottom)
3. Bilateral upper extremity (cephalic vein harvest +35500-50
4. Left External iliac endarterectomy 35351-LT
Left Common Femoral Artery endarterectomy 35372-LT
5. External iliac and common femoral patch angrioplasty
with greater saphenous vein ( included in # 4 CPT codes)
6. Left Common Femoral to anterior tibial artery distal by-pass 35566-LT
with reversed BILATERAL cephaclic veing
( In this procedure the MD took the two cephalic vein pieces
and sewed them together (anatamosis) into one long graft )
_________________________________________________
Are these codes correct please?
Are the modifiers correct ?
Also:
In the body of the op note: the MD also stated I performed bilaterial iliofemoral angioplasty; I then cannulated the left external iliac artery down to the anterior tibial artery
Would I not also code the RIGHT side he did angioplasty on, BEFORE
he went on down to the anterior tibial artery on the left? 36246-59,RT
Thanks for help based on this information alone, as long long op note too much to even put a re-dacted copy here.
Sherry
I cannot re-copy op note itself, but I verified with thorough op note read these procedures were done as the MD listed them here:
1. Left Lower extremity Third Order angiography 36247-LT
2. Left Lower extremity Third Order angiography S&I 75716 LT
( he cannulated down to anterior tibula artery see note at bottom)
3. Bilateral upper extremity (cephalic vein harvest +35500-50
4. Left External iliac endarterectomy 35351-LT
Left Common Femoral Artery endarterectomy 35372-LT
5. External iliac and common femoral patch angrioplasty
with greater saphenous vein ( included in # 4 CPT codes)
6. Left Common Femoral to anterior tibial artery distal by-pass 35566-LT
with reversed BILATERAL cephaclic veing
( In this procedure the MD took the two cephalic vein pieces
and sewed them together (anatamosis) into one long graft )
_________________________________________________
Are these codes correct please?
Are the modifiers correct ?
Also:
In the body of the op note: the MD also stated I performed bilaterial iliofemoral angioplasty; I then cannulated the left external iliac artery down to the anterior tibial artery
Would I not also code the RIGHT side he did angioplasty on, BEFORE
he went on down to the anterior tibial artery on the left? 36246-59,RT
Thanks for help based on this information alone, as long long op note too much to even put a re-dacted copy here.
Sherry