eutsler
Networker
Per the hospital face sheet, the patient was scheduled for "abdominal aortogram, possible PTA stent" for right lower extremity claudication. My physician was the admitting physician. The doctor wants to bill for both the stenting and the angiography.
Indications for procedure state that the patient had already had an ultrasound which showed possible right SFA occlusion, and that the patient "now presents for diagnostic angiography and possible intervention."
My interpretation of this is that the doctor was already planning angioplasty and/or stenting, and that the angiography would qualify as a scout procedure under NCCI. Would the earlier 93926 be considered diagnostic, or would the intra-procedural angiography be warranted as a more detailed diagnostic tool?
I know what I think, but I'd really appreciate other opinions.
Thanks.
Indications for procedure state that the patient had already had an ultrasound which showed possible right SFA occlusion, and that the patient "now presents for diagnostic angiography and possible intervention."
My interpretation of this is that the doctor was already planning angioplasty and/or stenting, and that the angiography would qualify as a scout procedure under NCCI. Would the earlier 93926 be considered diagnostic, or would the intra-procedural angiography be warranted as a more detailed diagnostic tool?
I know what I think, but I'd really appreciate other opinions.
Thanks.