Wiki Lower Extremity Revascularization

[ablythe]

I am confused about what is and is not included in the 2011 lower extremity revascularization codes. The CPT codebook seems to say (if I am reading it correctly) that the revascularization codes include catheterizations and the intervention-related S&Is, but I see nothing about associated diagnostic S&Is (75710, 75716). Can we still use these codes with the new lower extremity revascularization codes?

Thanks,

Allison

 

[Grintwig]

Per the Ingenix Coding Companion the follow up angiogram after the procedure is also included in the new code (as well as the angiographic guidance during the procedure).

 

[ablythe]

But what about the diagnostic procedure prior to the revascularization? I am pretty straight about no longer being able to code for the catheterization (36245-36248), but can I code for the S&I for a diagnostic procedure prior to the revascularization?

Thanks,
Allison

 

[Jim Pawloski]

But what about the diagnostic procedure prior to the revascularization? I am pretty straight about no longer being able to code for the catheterization (36245-36248), but can I code for the S&I for a diagnostic procedure prior to the revascularization?

Thanks,
Allison

You can bill for the diagnostic arteriogram as long as it is a full and complete exam. Then you use modifier -59 for the diagnostic exam.

HTH,
Jim Pawloski, CIRCC