Dr. Z question ID # 4035
Question: If the right CFA is accessed , cath goes up and over the left SFA and images, then pull back to the right iliac and fix- do I get to code my 3rd order cath placement for left SFA via RCFA?+
Answer: Yes, you can report 36247-59.
This was answered in 2012 after the new codes came out regarding the new guidelines.
However his guidebook says: "DO NOT report catheter placement codes for catheterization of an ipsilateral extremity vessel when via the same access as the revascularization procedure (37220-37235).
Which are the guidelines I have always followed. Is anyone coding the cath placement if it moves beyond the point of revascularizing into a different vascular family in the lower extremity?
Question: If the right CFA is accessed , cath goes up and over the left SFA and images, then pull back to the right iliac and fix- do I get to code my 3rd order cath placement for left SFA via RCFA?+
Answer: Yes, you can report 36247-59.
This was answered in 2012 after the new codes came out regarding the new guidelines.
However his guidebook says: "DO NOT report catheter placement codes for catheterization of an ipsilateral extremity vessel when via the same access as the revascularization procedure (37220-37235).
Which are the guidelines I have always followed. Is anyone coding the cath placement if it moves beyond the point of revascularizing into a different vascular family in the lower extremity?