AAPC - Back to school
Results 1 to 4 of 4

Thread: Another in Need of Vascular Help!

  1. #1

    Red face Another in Need of Vascular Help!

    AAPC: Back to School
    I am also new to vascular coding and would appreciate help with the following:

    Dr performed Aortobifemoral bypass w/PTFE graft. I think 35646 is the appropriate code, but I don't know if the following sentence represents an additional service - " the peritoneum was entered and a small amount of adhesions were taken down". I'm thinking 44005 -enterolysis of intestinal adhesions.
    My biggest difficulty is in determing what is included in the primary procedures and what is separately billable. Any advice on good reference books/materials/conferences?

    Thanks for any and all help!

  2. #2
    Join Date
    Apr 2007
    Central Indiana


    Lysis of adhesions is included in the primary vascular procedure code. There have been cases where the adhesions are SO extensive and time-consuming that I have billed for this additionally, however "a small amount of adhesions" is to be expected in the encounter and isn't billable seperately.

    Vascular coding is a very gray world... I've been doing it over 3 years and still don't have all the answers! The experts don't always have all the answers either. If you will be doing more endovascular procedures, I highly recommend Medical Asset Management, Inc. and ZHealth. Best wishes and good luck!

  3. #3
    Join Date
    Apr 2007


    Another good book is Ingenix Coding Companion Cardiology/Cariothoracic surgery/Vascular Surgery. Also there's a conference in Chicago next month, Challenges in Vascular Surgery: Coding & Reimburement for Vascular Surgeons. I went to the conference for the first time after coding for Vascular Surgeons for 5 months. It gave me a better understanding of Vascular Coding. Its worth attending. Maybe you should speak with your office manager, they may be interested in sending you to the conference.

  4. #4


    I'm a little late to the game here, but I agree with the user above - the SVS courses are great. They usually hold two per year - one in Chicago and one somewhere else. We've gone the past three years and have taken away a lot of great information, especially last year when we were all getting ready for the lower extremity revascularization changes. It's really well worth the money to attend at least once, especially if you're new to vascular coding.

    Kim Hoffman, CPC
    University Vascular Surgery

Similar Threads

  1. Vascular Help!
    By aprilnc in forum Cardiovascular Thoracic
    Replies: 1
    Last Post: 09-04-2014, 08:00 AM
  2. Help with vascular dx please!
    By littlebean in forum Diagnosis Coding
    Replies: 0
    Last Post: 03-19-2014, 08:55 AM
  3. Vascular Help Please
    By CathCoding in forum Cardiovascular Thoracic
    Replies: 1
    Last Post: 02-02-2012, 01:03 PM
  4. Vascular ed
    By suzieost in forum General Surgery
    Replies: 1
    Last Post: 06-09-2009, 08:09 AM
  5. Vascular
    By deferg408 in forum Cardiology
    Replies: 0
    Last Post: 02-28-2008, 08:12 PM

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?


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.