Results 1 to 5 of 5

I need your help coding this one,

  1. #1
    Default I need your help coding this one,
    Medical Coding Books
    Procedure: Wthe patient supine, the right groin was prepared and draped in the usual sterile fashion. Using micropuncture technique, the right common femoral artery was accessed and a 5 Fr sheath was placed. Through this sheath a 5 Fr Simmons II selective catheter was directed into the left and right common carotid arteries and the left vertebral artery where selective injections of the contrast material were made and digital subtraction images of the cervical and cerebral circulations were obtained. Catheters and guidewires were then removed and hemostasis was achiever by use of manual compression. The patien tolerated the procedure well without complication.

    They billed 36215-(51,59), 36216 & 36216 (51)- Would this be appropriate?


  2. #2
    As long as the patient has normal arch anatomy (with no deviations like Bovine Arch, etc)
    I would code:

    Cath Placements:
    R CCA -- 36216-59
    L CCA -- 36215
    L Vert -- 36215

    RCCA and LCCA -- 75671 (cerebral), 75680 (cervical)
    LVert -- 75685

    You should probably find out if the patient has normal arch anatomy, because if they don't that codeset you list is quite probable. As far as that -51 modifier I am unsure since I am a facility side coder. I bet someone else will chime in here. Good luck!

  3. Default

    We dont do too many cerebral/cervical interventions but looking at the cath placement I would add modifier 59 to the L Vert to indicate it is separate vessel. Wouldnt you need RT & LT modifiers to support or indicate that the cath placement was done on both the left and right side?

    R CCA -- 36216- RT
    L CCA -- 36215- LT
    L Vert -- 36215- 59

    RCCA and LCCA -- 75671 (cerebral), 75680 (cervical)
    LVert -- 75685

    I agree with the imaging codes, but you need to add modifier 26 to these codes.

  4. Default
    The codes are:

    R CCA -- 36216
    L CCA -- 36215-5951
    L Vert -- 36216-5951(LT vertebral is a second order)

    RCCA and LCCA -- 75671-26 (cerebral), 75680-26 (cervical)
    LVert -- 75685-26

  5. #5
    Thanks everyone...

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?


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.