• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Renal arteriogram / embolectomy of renal

Messages
23
Location
Gadsden, AL
Best answers
0
Procedure:
1. Left renal angiogram.
2. Detachable coli AZUR peripheral coil system with a helical hydrocoil embolization
4.0 x 15 cm and a 4.0 x 5 cm correlation is used.

INDICATION: Too sick to have nephrectomy and possible tumor with recurrent bleeding in the left kidney.

DESCRIPTION OF PROCEDURE: The patient was brought to the lab. Left femoral access was obtained. Left renal angiogram indcated stent in the superior pole vessel which is severely diffusely diseased and almost occluded. Inferior pole vessel stent is open, which is a large portion of the kidney supplied by inferior, mid pole vessel, which was approached by 5-French hydrocoil and 2 cores were deployed and the patient had adquate embolectomy of that renal artery is performed. The upper renal vessel is left alone.

CONCLUSION: Embolectomy of the renal artery on the left side using #2 coils. Sheath was removed.


So this is the first time i have ever billed for something like this and i am confused. I have coded renal angiograms and stents but i'm not sure if i have this right.

I was going to bill for renal embolectomy 34151 but it states that its by abdominal incision. the pt was through the femoral. I know that I cannot bill 36251 unilateral. Is it like stents? Please help....so confused
 

RhondaJohnson

Contributor
Messages
18
Location
Fargo, North Dakota 70102
Best answers
0
The key word here is embolization. That leads me to....

37204 - Transcatheter embolization, percutaneous, non-head/neck
75894 - Transcatheter embolization, radiological S&I

The catheterization of the renal artery is included in the embolization code.
 
Top