Results 1 to 8 of 8

Embolization - How will you code for bilateral

  1. #1
    Default Embolization - How will you code for bilateral
    Exam Training Packages
    Hi all,


    How will you code for bilateral gonadal vein embolization.. I believe that embolization codes can be coded only once per operative field except for lungs, kidneys. Please clarify

    Thanks
    Prabhavathi

  2. #2
    Default
    You are correct, it is per operative field.
    Anita W, CIRCC, RCC, CPMA, CPC

  3. #3
    Default
    Thank you

    Prabhavathi

  4. #4
    Default
    Hi All,

    Assign embolization codes 75894 and 37204 twice for left and right.Per sept1998CPT assistant vignette # 2 says different anatomic site (operative field) code twice.

    Regds,
    Krishna

  5. Default
    Embolization is coded per surgical site, however, as the gonadal veins are unilateral stuctures (such as renal arteries are unilateral structures) the right and the left gonadal veins are treated as two separate surgical sites (as would two kidneys). If bilateral gonadal vein embolization is performed, it is billed twice with 37204, 37204-59, 75894, 75894-59. (Be aware that it is actually unusual to have bilateral varicocoeles as a problem in men. Usually the problem is that where the left gonadal vein comes off it is "kinked" resulting in increased pressure below that point, thus, the dilated veins extending into the scrotum called a varicocoele.) The CPT reference has already been quoted in an earlier response.

  6. #6
    Location
    Birmingham, Alabama
    Posts
    889
    Default
    Quote Originally Posted by davidzielske View Post
    Embolization is coded per surgical site, however, as the gonadal veins are unilateral stuctures (such as renal arteries are unilateral structures) the right and the left gonadal veins are treated as two separate surgical sites (as would two kidneys). If bilateral gonadal vein embolization is performed, it is billed twice with 37204, 37204-59, 75894, 75894-59. (Be aware that it is actually unusual to have bilateral varicocoeles as a problem in men. Usually the problem is that where the left gonadal vein comes off it is "kinked" resulting in increased pressure below that point, thus, the dilated veins extending into the scrotum called a varicocoele.) The CPT reference has already been quoted in an earlier response.
    Thank you for this insight, it is very helpful.
    Danny L. Peoples
    CIRCC,CPC

  7. #7
    Default
    Hi all,

    Thanks for your suggestion...again what about 75898? Do we need to code twice with 59 modifier Except for cerebral followups.. we usually code it once.. since two vessels were embolized can I code it twice.

    Please explain...
    Best Regards
    Prabhavathi Kurchety, CPC

  8. #8
    Location
    Birmingham, Alabama
    Posts
    889
    Default
    Quote Originally Posted by prabhavathi View Post
    Hi all,

    Thanks for your suggestion...again what about 75898? Do we need to code twice with 59 modifier Except for cerebral followups.. we usually code it once.. since two vessels were embolized can I code it twice.Please explain...

    Yes, you can.
    Danny L. Peoples
    CIRCC,CPC

Similar Threads

  1. Replies: 0
    Last Post: 07-31-2014, 02:38 PM
  2. Embolization
    By javico1974 in forum Interventional Radiology
    Replies: 0
    Last Post: 02-05-2010, 11:45 AM
  3. Embolization - Patient is a 38-year-old gentleman
    By prabha in forum Interventional Radiology
    Replies: 1
    Last Post: 01-07-2010, 09:39 AM
  4. Embolization - Do we need to add any catheter
    By prabha in forum Interventional Radiology
    Replies: 4
    Last Post: 09-17-2009, 01:44 PM
  5. Embolization
    By prabha in forum Interventional Radiology
    Replies: 4
    Last Post: 05-22-2009, 03:50 AM

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.