Need help with a CPT code

MOSS1

New
Local Chapter Officer
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9
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0
My doctor says "We then took injections from the right femoral which showed severe occlusion of the rt femoral and iliac system with near occlusion of the origin of the rt iliac as well as what appears to be occlusion of the lt iliac system with collateral filling. We then removed the sheath and pressure was applied." This is after a LHC, CORS, and LVA. Patient is non-medicare. Thank you in advance!
 

jtuominen

Guru
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185
Location
Minneapolis
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Because your physician identifies that his extremity injections found severe femoral/iliac disease I believe you have the diagnoses you need to support medical necessity of an extremity study in addition to your heart cath code. But in order to code it though, you/we need to know, the access point and location(s) of the catheter during the extremity injection(s) taken to perform the angiography.
 

jtuominen

Guru
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185
Location
Minneapolis
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If your report relates that an angioraphic study was performed within the aorta (usually in the aorta at the bifucation) to image the legs, and findings are provided for both the right and left legs, then you have the information you need to bill a 36200-59 and 75716-59 in addition to your heart catheterization code.
 

Jess1125

Expert
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403
Location
Green Bay
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I disagree. You can't bill code 36200 with a heart cath. This is included in the work of the heart cath codes.

Jessica CPC, CCC
 
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