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Confused with new lower extremity codes

  1. #1
    Default Confused with new lower extremity codes
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    I have been researching the coding for the lower extremity stenting and PTA. I am under the impression that the new codes include the catheter placement and S&I codes. Is this correct? I cannot seem to find anything stating that for sure but the CPT says the codes include all work of accessing the vessels. Which leads me to believe that includes the catheter placement and radiology codes. Just wanting verification that I am understanding this correctly.
    Jessica Chandler CPC, COC, CPC-P, CPB, CCC
    Charleston, WV

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    email me at kelly.bazarte@trinityhealth.org and i will send you the low ext. revascularization codes

  3. #3
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    kelly could i get a copy of that too please amanda.solomon@jax.ufl.edu
    Amanda Solomon CPC, CCC

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    Quote Originally Posted by jessica1974 View Post
    I have been researching the coding for the lower extremity stenting and PTA. I am under the impression that the new codes include the catheter placement and S&I codes. Is this correct? I cannot seem to find anything stating that for sure but the CPT says the codes include all work of accessing the vessels. Which leads me to believe that includes the catheter placement and radiology codes. Just wanting verification that I am understanding this correctly.
    Jessica,

    Ok Im going to try and explain the way I am understanding this. THis comes from Medlearn seminar I attended.

    Lower extremity interventions:
    COde to the highest value of interventions;

    stents are kings
    athrectomies are queens
    Angioplasties are jacks

    Diagnostic imaging from which a medical decision is made to intervene IS coded separately
    Cath placement is included within the intervention.

    There is NOT a corresponding S&I code for the interventions,like there use to be.

    So what this means is.

    WHen an intervention is done the cath placement is NOT coded BUT the S & I for the cath placement is.

    when they say S & I is included in the intervention they mean the S & I (that we used to code with the stent code ) is included. NOt the S & I for the cath placement. Read the above carefully and you will see this.

    Let me know if you dont understand I can try and help again.
    Theresa CCS-P CPMA CCC ICDCT-CM

  5. #5
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    So we cannot code cath placement but can use the S&I codes for a runoff (75716) etc if they are performed and intervention is lead to. I think I understand. Thanks for your help.
    Jessica Chandler CPC, COC, CPC-P, CPB, CCC
    Charleston, WV

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    Quote Originally Posted by jessica1974 View Post
    So we cannot code cath placement but can use the S&I codes for a runoff (75716) etc if they are performed and intervention is lead to. I think I understand. Thanks for your help.

    Yes this is what Medlearn said. I have a question for you now! On the LHC/stent do we add 59 modifier? I have heard some say yes some no.
    Theresa CCS-P CPMA CCC ICDCT-CM

  7. #7
    Default
    Quote Originally Posted by theresa.dix@ethc.com View Post
    Jessica,

    Ok Im going to try and explain the way I am understanding this. THis comes from Medlearn seminar I attended.

    Lower extremity interventions:
    COde to the highest value of interventions;

    stents are kings
    athrectomies are queens
    Angioplasties are jacks

    Diagnostic imaging from which a medical decision is made to intervene IS coded separately
    Cath placement is included within the intervention.

    There is NOT a corresponding S&I code for the interventions,like there use to be.

    So what this means is.

    WHen an intervention is done the cath placement is NOT coded BUT the S & I for the cath placement is.

    when they say S & I is included in the intervention they mean the S & I (that we used to code with the stent code ) is included. NOt the S & I for the cath placement. Read the above carefully and you will see this.

    Let me know if you dont understand I can try and help again.
    Can I add to the above;
    In the lecture, this is how many codes you can have.
    Pelvis - 3 codes, one each for Common Iliac, External Iliac, and External Iliac.
    Common Femoral to Popliteal - only one code
    Lower leg - One each for Anterior Tibial, Posterior Tibial and Peroneal.

    The diagnostic angio is coded with a modifier -59, has to be a complete study.
    The intervention includes cath position and any injections/imaging.

    HTH,
    Jim Pawloski, CIRCC, R.T. (CV)

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    Quote Originally Posted by Jim Pawloski View Post
    Can I add to the above;
    In the lecture, this is how many codes you can have.
    Pelvis - 3 codes, one each for Common Iliac, External Iliac, and External Iliac.
    Common Femoral to Popliteal - only one code
    Lower leg - One each for Anterior Tibial, Posterior Tibial and Peroneal.

    The diagnostic angio is coded with a modifier -59, has to be a complete study.
    The intervention includes cath position and any injections/imaging.

    HTH,
    Jim Pawloski, CIRCC, R.T. (CV)

    Jim,
    thank you for adding that!
    Theresa CCS-P CPMA CCC ICDCT-CM

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