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Lower Extremity Revascularization

  1. #1
    Default Lower Extremity Revascularization
    Medical Coding Books
    I am confused about what is and is not included in the 2011 lower extremity revascularization codes. The CPT codebook seems to say (if I am reading it correctly) that the revascularization codes include catheterizations and the intervention-related S&Is, but I see nothing about associated diagnostic S&Is (75710, 75716). Can we still use these codes with the new lower extremity revascularization codes?

    Thanks,

    Allison

  2. #2
    Location
    Fayetteville, NC
    Posts
    300
    Default
    Per the Ingenix Coding Companion the follow up angiogram after the procedure is also included in the new code (as well as the angiographic guidance during the procedure).
    A. McCormick, CPC, CGSC
    Walters Surgical Associates

  3. #3
    Default
    But what about the diagnostic procedure prior to the revascularization? I am pretty straight about no longer being able to code for the catheterization (36245-36248), but can I code for the S&I for a diagnostic procedure prior to the revascularization?

    Thanks,
    Allison

  4. #4
    Default
    Quote Originally Posted by ablythe View Post
    But what about the diagnostic procedure prior to the revascularization? I am pretty straight about no longer being able to code for the catheterization (36245-36248), but can I code for the S&I for a diagnostic procedure prior to the revascularization?

    Thanks,
    Allison
    You can bill for the diagnostic arteriogram as long as it is a full and complete exam. Then you use modifier -59 for the diagnostic exam.

    HTH,
    Jim Pawloski, CIRCC

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