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Need help with procedure

  1. #1
    Default Need help with procedure
    Medical Coding Books
    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.

  2. #2
    Default
    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

  3. #3
    Default
    no he didn't fix it another doctor did-
    Thanks just wanted to make sure i had it correct

  4. Smile
    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.

  5. #5
    Default
    well apparently we didn't have the right code- thanks for your help!

  6. #6
    Default
    take a look at 76000 Fluoro up to 1 hour physician time, other than 71023 or 71034 (ex:Cardiac Fluoro)

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