Results 1 to 7 of 7

spinal angiogram

  1. Default spinal angiogram
    Medical Coding Books
    Hello All :
    How to code this senario, Can i code like this,Please confirm.
    Intercostal:
    36215x16
    75705x16
    Bronchial:
    36216
    36215-59
    75726x2
    Lumbar:
    36245x2
    75726x2
    The right common femoral artery was accessed via Seldinger
    technique. A 5 French vascular sheath was placed via this
    puncture site. A 5-French pigtail catheter was advanced to the
    sheath and positioned within the thoracic aorta. A thoracic
    aortogram in the frontal projection was performed. The catheter
    was then exchanged for a 5 French HS1 catheter was advanced
    through the sheath. Selective catheterization of the right and
    left intercostal arteries beginning from T5, right and left
    bronchial arteries as well as the lumbar arteries through L4 were
    sequentially performed. Contrast injection with digital imaging
    of these vessels in the frontal (and oblique for certain vessels)
    was performed.The catheter and sheath were removed and hemostasis
    was achieved using manual compression.

    Findings: A large right intercostal bronchial artery is
    identified. A prominent left bronchial artery is identified at
    the T6 level. Patent right and left intercostal arteries are
    identified through T12. The lumbar arteries are patent. There is
    no evidence of serpiginous or tangle of vessels suggestive of an
    arteriovenous malformation. No spinal artery is opacified.

    Impression:

    Selective spinal angiography demonstrates no evidence of
    arteriovenous malformation of the spinal cord.
    Last edited by Shirleybala; 03-30-2009 at 01:56 AM.

  2. #2
    Location
    Birmingham, Alabama
    Posts
    889
    Default
    Quote Originally Posted by Shirleybala View Post
    Hello All :
    How to code this senario, Can i code like this,Please confirm.
    Intercostal:
    36215x16
    75705x16
    Bronchial:
    36216
    36215-59
    75726x2
    Lumbar:
    36245x2
    75726x2
    The right common femoral artery was accessed via Seldinger
    technique. A 5 French vascular sheath was placed via this
    puncture site. A 5-French pigtail catheter was advanced to the
    sheath and positioned within the thoracic aorta. A thoracic
    aortogram in the frontal projection was performed. The catheter
    was then exchanged for a 5 French HS1 catheter was advanced
    through the sheath. Selective catheterization of the right and
    left intercostal arteries beginning from T5, right and left
    bronchial arteries as well as the lumbar arteries through L4 were
    sequentially performed. Contrast injection with digital imaging
    of these vessels in the frontal (and oblique for certain vessels)
    was performed.The catheter and sheath were removed and hemostasis
    was achieved using manual compression.

    Findings: A large right intercostal bronchial artery is
    identified. A prominent left bronchial artery is identified at
    the T6 level. Patent right and left intercostal arteries are
    identified through T12. The lumbar arteries are patent. There is
    no evidence of serpiginous or tangle of vessels suggestive of an
    arteriovenous malformation. No spinal artery is opacified.

    Impression:

    Selective spinal angiography demonstrates no evidence of
    arteriovenous malformation of the spinal cord.

    It looks good to me. Well done. Aren't those fun.
    Danny L. Peoples
    CIRCC,CPC

  3. #3
    Default Spinal Angio
    You forgot one other code, Thoracic aortogram - 75605. You lose the catheter placement aorta when a selective arteriogram.

  4. Default
    75726 includes aortogram so we should not code 75605

  5. Default
    Hi Shirley,

    Flush aortogram(75625) is included in the selective visceral abdominal angiogram(75726), but 75605 is thoracic aortogram which is not included in abdominal aortogram.


    Hope this helps..

    Thanks
    Elamathi CPC

  6. Default
    Hello Elamathi:

    Thankyou for corrected.your point is correct.

  7. #7
    Location
    Birmingham, Alabama
    Posts
    889
    Default
    In my opinion, the only interpretation of the thoracic injection is the location of the bronchial and intercostal arteries. This suggests that injection was for guidance or roadmapping. The standard in the industry is such studies should not be separately coded. I would not have coded the 75605, thoughI do understand why the others would.
    Danny L. Peoples
    CIRCC,CPC

Similar Threads

  1. AI Spinal Angiogram
    By beatriz88b in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 08-07-2015, 01:01 PM
  2. Replies: 2
    Last Post: 08-28-2013, 09:33 AM
  3. angiogram
    By maryann1224@bellsouth.net in forum Cardiology
    Replies: 2
    Last Post: 05-29-2012, 03:18 PM
  4. CT Angiogram
    By AndreaMac in forum Cardiology
    Replies: 0
    Last Post: 03-21-2011, 02:08 PM
  5. Spinal angiogram
    By todd5400 in forum Interventional Radiology
    Replies: 1
    Last Post: 07-10-2009, 12:46 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.