venography

Shirleybala

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Hi mindys,
For this report my codes are 36005, 36005-59, 75820 am i correct.
What i have to do for additional angiography.

Initially a 22 gauge angiocath was placed at the level of the
wrist. Contrast was injected and digital subtraction venography
was performed centered over the forearm. Although there was no
extravasation, the forearm veins were very small caliber and the
patient complained of pain upon injection. Therefore a second 22
gauge angiocath was placed in an antecubital vein, through which
the remainder of the venogram was performed. Contrast was
injected and digital subtraction venography was performed from
level of the elbow joint to the right atrium in multiple stations.
 

kusuma

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Venography Query

Hey Shirley,

I guess ur codes are correct.
We have one additional code 75774 but can be used only for selective cath placement.

Regards,
Dr Kusuma.
 

MLS2

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75774 can be used for any additional "vessel"...the code doesn't specify that it only has to be an artery. In this case you wouldn't need it though.
 

Hariharan

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The injection can be billed twice 36005, 36005-59 but the venography is billed only once.I think this itself enough to bill the Venography and injection...


Thanks
HariHaran

Regarding this for further information from Walt email supports the above my conclusion

The code is question is described as follows:

75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)

Therefore by definition it follows that a venogram ( radiography of a vein) is an angiogram, and 75774 is to be used for selective venograms after the basic exam.

Walt
 
Last edited:

MLS2

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Per the CSI Navigator for Interventional Radiology, 75774 is also listed in the venous section for "Selective, each additional vessel studied after basic examination"
 
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