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Thread: Cerebral Carotids verus Cervical Carotids

  1. #1

    Default Cerebral Carotids verus Cervical Carotids

    Hi,

    I am new to IR coding. I am wondering if there are anatomical landmarks to determine whether cervical verus cerebral carotids angiograms are taken or both. CPT codes 75676 and 75680 verus 75665 and 75671. Or does it have to state in the report cervical carotids angiogram taken and cerebral carotids angiogram taken

    Thanks,
    Yolanda Wallace CPC-A, CPC-H-A

  2. #2

    Default Cervical vs Cerebral

    The internal carotid is the vessel that goes up into the cerebral area. so an interpretation of the Internal carotid will be a Cerebral study. An interpretation of the Common Carotid will be Cervical. If the report does not state either, you should be able to determine which study is performed by the interpretation mentioned above.



  3. #3

    Default

    If I'm coding cerebral angiograms, generally speaking I'd like to see mention of some cerebral arteries. But maybe the internal carotid is obstructed before it gets to cerebral arteries so they can't be seen. I think the answer could vary depending on the situation.

    Diane Huston, CPC,RCC

  4. #4
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    Default

    Quote Originally Posted by yjwallace View Post
    Hi,

    I am new to IR coding. I am wondering if there are anatomical landmarks to determine whether cervical verus cerebral carotids angiograms are taken or both. CPT codes 75676 and 75680 verus 75665 and 75671. Or does it have to state in the report cervical carotids angiogram taken and cerebral carotids angiogram taken

    Thanks,
    Yolanda Wallace CPC-A, CPC-H-A

    Although the internal carotids can be considered cerebral/intracranial arteries, I do not consider an interpretation of those arteries alone enough to justify ctp 75665/75671. It all depends on what is documented. I consider interpretation of the internal carotids "cervical" unless other cerebral arteries are mentioned, especially the anterior cerebral or beyond.

    I hope this helps.
    Danny L. Peoples
    CIRCC,CPC

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