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selective renal angiogram during cath

  1. Default selective renal angiogram during cath
    Medical Coding Books
    How would you bill for a selective renal angiogram done at the time of a diagnostic heart cath? From what I understand the interpertation of the selective renal angiogram needs to be as complete a study as if it had been done alone. I have a report where our physician says he did bilateral selective renal angiogram during cath but under the renal artery angiography part it just says no renal artery stenosis. I thought that there had to be a venous phase interpertation and everything. I would appreciate any help as this has been an on going issue. I don't want to be missing services but I don't want to be billing for things that the documentation does not support either. Thanks shelly

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    Quote Originally Posted by mshelly87 View Post
    How would you bill for a selective renal angiogram done at the time of a diagnostic heart cath? From what I understand the interpertation of the selective renal angiogram needs to be as complete a study as if it had been done alone. I have a report where our physician says he did bilateral selective renal angiogram during cath but under the renal artery angiography part it just says no renal artery stenosis. I thought that there had to be a venous phase interpertation and everything. I would appreciate any help as this has been an on going issue. I don't want to be missing services but I don't want to be billing for things that the documentation does not support either. Thanks shelly
    IMO, you can bill for the renal angiography based on the interpretation/findings. I don't recall reading in the guidelines how specific the documentation needs to be to meet the requirements of Interpretataion. I would suggest to the physician that more documentation would help support the level of service he provided.

    HTH
    Danny L. Peoples
    CIRCC,CPC

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