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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.

    There appears to be a break in the RV lead close to generator site.

  2. #2
    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
    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
    well apparently we didn't have the right code- thanks for your help!

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

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