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Thread: Coding peripheral interventions during heart cath

  1. #1

    Default Coding peripheral interventions during heart cath

    AAPC: Back to School
    We have a new physician that does peripheral interventions and has done them during a cath. My question is since he is already doing the cath are the catheter placement codes for the intervention billable? I don't want to be missing services but I don't want to be billing for things im not supposed to either. Example our Dr. did a lhc, cors,lv gram then selective angiography of the left subclavian which led to a stent in the left subclavian. What is the correct way to code this? Any help would be greatly appreciated. I am going to an advanced cardiology coding seminar but it's not till December. Help?

  2. #2
    Join Date
    Apr 2007
    Green Bay


    Yes, do assign selective catheter placement codes when both cardiac and radiologic services are provided at the same session on the same patient from a single vascular access point.

    When the physician is doing a peripheral intervention alone the catheter placement code will be separately billable from the procedure and s/i codes as well.

    This isn't like coronary interventions where the catheter placement, s/i are bundled into the code for the coronary intervention.

    Hope this helps,
    Jessica CPC, CCC

  3. #3
    Join Date
    Apr 2007
    Green Bay


    As far as the codes


    I'm sure these codes will be bumping against CCI edits and will have to check CCI.

  4. #4


    Jess what about the selective left subclavian angiogram? From what I understand with perpiheral coding I would bill for this as it is not bundled into the stent code. Is that correct? Thanks for all your help. shelly

  5. #5
    Join Date
    Apr 2007
    Green Bay


    Left subclavian angiogram would be 75710-26. Sorry!

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