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Open brachial cutdown: billable?

davidskm

Networker
Messages
42
Location
Ann Arbor
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37236:Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery

34834: Open brachial artery exposure to assist in the deployment of aortic or iliac endovascular prosthesis by arm incision, unilateral


My physician is trying to state we should be able to bill the "open brachial cutdown" with the stent placement.
PROCEDURE(S) PERFORMED:
1. Left brachial cutdown.
2. Left subclavian stent.

*I've explained this code is for aortic or iliac prsthesis and that the open part is included with the stent placement.

I need a 2nd or 3rd opinion please as to if others are billing the "cutdown" portion with placing stents.
 
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