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Mulitple Thombectomies

  1. #1
    Question Mulitple Thombectomies
    Medical Coding Books
    Thrombectomies performed of superficial femoral artery and popliteal artery, thrombectomy of profunda, thrombectomyof common femoral aertery and iliac artery. Can this be coded as 34201, 34201-59, 34201-59, 34201-59? This was all on the left side.

  2. Default
    All the -59s are not valid. The 34201 is coded once for each leg. If supported by documentation, you could code the mod -22 for complex. Since he did multiples the payer may pay a little more but don't hold your breath

    34201 Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision

    Hope this helps

  3. #3

    If this was all performed via one groin incision and one arteriotomy, then I would code 34201 only once.
    Jill Tom, COC, CPC, CPMA, CPC-I
    East Valley Kachina Coders
    East Valley Mesa, AZ AAPC Local Chapter
    President 2011
    President-Elect 2010
    New Member Development Officer 2009

  4. Default
    I have a question about coding thrombectomies...if supported wouldn't you also code 37184-37186 along with 34201? We have a new cardiologist who is doing thrombectomies, just want to make sure I am coding correctly


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