I am new to this, and this seems to be the hardest for me to get.
Procedures Performed:
Bilateral AIF with runoff
Abdominal aortogram
Single access was made into the right femoral artery the cath was passed over the guidewire thriough the protective sheath in the groin and up into the abdominal aorta where the guidwire was removed and multiplane injection of contrast was recorded, Another cath was then inserted over a guidewire and advanced into the common iliac artery where multiplane injection of contrast was recorded. Contrast was injected via the aterial sheath in the right leg, and images were recorded of this lower extremity. Contrast was injected via the arterial sheath in the left leg, and images were recorded of the lower extremity.
Findings:
Aortogram: This vessel is normal in size. There is no aneurysm noted.
Right Renal Artery: Mild nonobstructive disease.
Left Renal Artery: There is mild disease in the ostial segment. The vessel divides into two large branches in the proximal segment.
Left Upper Leg:
Common iliac artery: mild disease
Superficial Femoral Artery: 100% proximal reconstitutes distal segment by collaterals. PTA of left SFA using a long glide cath and angled glidewire attempt was made to cross the lesion without success, therfore PTA attempt was abandoned.
Left Lower Leg:
Popliteal artery: widely patent with 3-vessel runoff.
Right upper leg: Common Iliac artery: mild disease
Common femoral artery: 100% occuled: reconstitutes at the distal SFA.
Right Lower Leg:
Popliteal Artery: Widely patent with 3-vessel runoff.
Here is the problem I have, I dont know the correct modifier usage I can come up with the codes and I can put the cath placements with the S&I its just the modifiers and the order of the cath placements. Doesnt start with the highest and go down?
Here is what I have:
36247-35474-74 I added 74 because was procedure was done Outpatient
36140-59 75716-26 Do I need to add 59 mod to these?
36200-59 75625-26
Thank you all so much for the help, I can read and read but there is nothing like actually seeing the op notes worked out.
Procedures Performed:
Bilateral AIF with runoff
Abdominal aortogram
Single access was made into the right femoral artery the cath was passed over the guidewire thriough the protective sheath in the groin and up into the abdominal aorta where the guidwire was removed and multiplane injection of contrast was recorded, Another cath was then inserted over a guidewire and advanced into the common iliac artery where multiplane injection of contrast was recorded. Contrast was injected via the aterial sheath in the right leg, and images were recorded of this lower extremity. Contrast was injected via the arterial sheath in the left leg, and images were recorded of the lower extremity.
Findings:
Aortogram: This vessel is normal in size. There is no aneurysm noted.
Right Renal Artery: Mild nonobstructive disease.
Left Renal Artery: There is mild disease in the ostial segment. The vessel divides into two large branches in the proximal segment.
Left Upper Leg:
Common iliac artery: mild disease
Superficial Femoral Artery: 100% proximal reconstitutes distal segment by collaterals. PTA of left SFA using a long glide cath and angled glidewire attempt was made to cross the lesion without success, therfore PTA attempt was abandoned.
Left Lower Leg:
Popliteal artery: widely patent with 3-vessel runoff.
Right upper leg: Common Iliac artery: mild disease
Common femoral artery: 100% occuled: reconstitutes at the distal SFA.
Right Lower Leg:
Popliteal Artery: Widely patent with 3-vessel runoff.
Here is the problem I have, I dont know the correct modifier usage I can come up with the codes and I can put the cath placements with the S&I its just the modifiers and the order of the cath placements. Doesnt start with the highest and go down?
Here is what I have:
36247-35474-74 I added 74 because was procedure was done Outpatient
36140-59 75716-26 Do I need to add 59 mod to these?
36200-59 75625-26
Thank you all so much for the help, I can read and read but there is nothing like actually seeing the op notes worked out.