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Wiki Need help with procedure

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lindseyj

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What would you code for this? 71090-26? Thanks


PROCEDURE: Cardiac fluoroscopy.

This patient is known to have known ischemic cardiomyopathy, status post
biventricular automatic implantable cardioverter-defibrillator. Lately he has
been noted to have episodes of syncope and falls and was noted to have
increased resistance in the RV lead, which was greater than 3,000 ohms.

FINDINGS:
There appears to be a break in the RV lead close to generator site.
 
Lets see if I have this right, the doc only took the patient in and did a fluoroscopy on the patient to see if the lead was detached from the generator?

Then yes you would bill 71090-26

I'm suprised he didn't either fix it then or possibly just do an x-ray instead of the fluoroscopy.

If he fixed it then you would have a few codes to add
 
no he didn't fix it another doctor did-
Thanks just wanted to make sure i had it correct :)
 
71090-26 may not be the correct code to use; this code is for fluorscopy guidance during insertion of a pacemaker or ICD unit. When checking the position of a lead we use 76120-26 with the appropriate dx code. We have been paid using 76120-26. Unfortunatley there isnt no other radiology code to use to check the position of the lead.
 
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