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We often code stent and cath together...but

  1. #1
    Question We often code stent and cath together...but
    Medical Coding Books
    We often code stent and left heart cath together, I have a new physician who also wants to charge for thrombectomy and right iliac angiogram. Can I code for all? As always, thanks in advance

  2. #2
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    Jacksonville Florida
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    Quote Originally Posted by acgtammy View Post
    We often code stent and left heart cath together, I have a new physician who also wants to charge for thrombectomy and right iliac angiogram. Can I code for all? As always, thanks in advance
    Hi

    If done during a heart cath, you can use 92973 for the thrombectomy. I'm not 100% sure on this, but I think that the angiogram would be included in the 93545, 93556-26. Maybe someone else on here can clarify that. Hope that helps
    Jammie Barsamian, CPC, CCC, CEMC, CCS-P, CPMA

  3. Default
    you can use G0278 for the iliac arteriogram.

  4. #4
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    Remember to only code the illiac angiogram if it is done to diagnose a possible condition (ie. illiac stenosis found while trying to advance the heart catheter). If it is done merely for roadmapping to ensure that the heart catheter does not advance out of the true lumen of the vessel then it cannot be charged for. Use G0278 if the illiac angiogram is performed within the aorta or the ipsiliateral limb of the procedure. Use 75710 and the apprpropriate catheter placement code (eg. 36246 for a catheter placement to the external illiac artery, yes this can be charged for even with a heart cath) to document a angiogram of the contralateral limb.

    HTH
    Jayna, RHIA, CIRCC

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