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Selective Catheterrization...need to find a code

  1. #1
    Default Selective Catheterrization...need to find a code
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    Is a Cerebral arteriogram from the R-femoral artery a example of selective catheterization? If not, can someone help with a definition for this?

  2. #2
    Location
    Birmingham, Alabama
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    889
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    Quote Originally Posted by fredcpc View Post
    Is a Cerebral arteriogram from the R-femoral artery a example of selective catheterization? If not, can someone help with a definition for this?
    It could be but there needs to be more detailed documentation. Can you provide a report? (w/o patient names please)
    Danny L. Peoples
    CIRCC,CPC

  3. #3
    Default Selective Catheterization
    I wish that I could provide more of the note, but our office is not Ok with it, for some reason. But my question was to me understand how to code Selective Catheterization? I was hoping for some examples...is the Cerebral Arteriogram from the r-femoral artery an example of it?

  4. #4
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    Quote Originally Posted by fredcpc View Post
    I wish that I could provide more of the note, but our office is not Ok with it, for some reason. But my question was to me understand how to code Selective Catheterization? I was hoping for some examples...is the Cerebral Arteriogram from the r-femoral artery an example of it?
    The problem is when coding for a selective arteriogram, you need to know where was access, and what vessle was selected. Was it above the diaphram or below? Also what was imaged? That's why Danny asked for the report, without names. For a cerebral, there can be as many as six selective codes and four imaging codes, depending on where the catheter went and what was imaged. Two great sources for information are Z-helath Publishing, and Medlearn. They both have books and charts that can help you.
    Thanks,
    Jim Pawloski, CIRCC

  5. #5
    Default Selective Catherization
    I agree. And I wish that I had the book at this point, or more flexibility with the notes. But to get through this one note....is the Cerebral Arteriogram via the the r-femoral artery an example of selective or non-selective catheterization?

  6. #6
    Location
    Birmingham, Alabama
    Posts
    889
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    Quote Originally Posted by fredcpc View Post
    I agree. And I wish that I had the book at this point, or more flexibility with the notes. But to get through this one note....is the Cerebral Arteriogram via the the r-femoral artery an example of selective or non-selective catheterization?
    A cerebral arteriogram could be either selective or non-selective....

    Non selective means the catheter is not advanced from access site or is only advanced to the aorta (arch to bifurcation).

    Selective means the catheter is advanced beyond the aorta into a first,second and/or third order vessel.

    There are some cerebral arteriography codes that could be non-selective (ie 75680), there are some that are selective only (ie 75662), but in all cases it is doutful (IMO) that any of these could be seen from an injection of contrast into a femoral artery.

    HTH
    Danny L. Peoples
    CIRCC,CPC

  7. #7
    Default Trying to learn about Selective Catheterizations
    For those of you that are Cardiology coders, I know this is a bare and lack of notes...for me to learn, I have to ask the questions this way...So, of the of the following, which are considered Selective Caths...Aortograms (I think probably), Superior Venograms (likely not), and Danny said that Cerebral arteriogram from the r-femoral artery could be non-s or selective, as I understood. Any thoughts would be great?

    Thank you for your time, feedback, and knowledge so far.

  8. #8
    Location
    Fayetteville, NC
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    300
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    It all depends on how they are accessed.
    Sorry, but there is no way for anyone to give you the answer to the question you are asking without way more details
    A. McCormick, CPC, CGSC
    Walters Surgical Associates

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