Results 1 to 5 of 5

75625-26 or G0275

  1. Default 75625-26 or G0275
    Exam Training Packages
    When my physician does an abdominal aortogram in the cath lab while doing a left heart cath do I code 75625-26 or G0275?

    For example:

    Using modified Seldinger technique, a 6-French sheath was inserted into the right femoral artery. The side port was flushed with heparinized saline and a JL4 was advanced to the ascending aorta, cannulating the left coronary ostium where angiograms were obtained in multiple projections. This was then exchanged for a no-torque right, which was used to cannulate the right coronary ostium where angiograms were obtained in multiple projections. This was then exchanged for a 6-French angled pigtail, which was advanced into the left ventricle, withdrawn into the aortic root and abdominal aorta. Angiograms were obtained. An abdominal flush was obtained because the patient was noted to be significantly hypertensive with dilated atherosclerosis in the coronary arteries.

    Please, if possible, include an explanation for choosing the correct code so that I may understand this as completely as possible! Thanks for all of your help. The AAPC forums have been a great sounding board and I truly enjoy exanding my knowledge with the help of my peers!

  2. #2
    Default
    G0275 is used for Medicare patients with renal studies at time of cath. 75625 is for abdominal aortography. Hope this helps

  3. #3
    Default
    G0275 is used for Medicare patients with renal studies at time of cath. 75625 is for abdominal aortography. Hope this helps Pam

  4. Default Second dx required to bill 75625 "with" cardiac cath
    Quote Originally Posted by AshleyMartin View Post
    When my physician does an abdominal aortogram in the cath lab while doing a left heart cath do I code 75625-26 or G0275?

    For example:

    Using modified Seldinger technique, a 6-French sheath was inserted into the right femoral artery. The side port was flushed with heparinized saline and a JL4 was advanced to the ascending aorta, cannulating the left coronary ostium where angiograms were obtained in multiple projections. This was then exchanged for a no-torque right, which was used to cannulate the right coronary ostium where angiograms were obtained in multiple projections. This was then exchanged for a 6-French angled pigtail, which was advanced into the left ventricle, withdrawn into the aortic root and abdominal aorta. Angiograms were obtained. An abdominal flush was obtained because the patient was noted to be significantly hypertensive with dilated atherosclerosis in the coronary arteries.

    Please, if possible, include an explanation for choosing the correct code so that I may understand this as completely as possible! Thanks for all of your help. The AAPC forums have been a great sounding board and I truly enjoy exanding my knowledge with the help of my peers!
    -----------------------------------------------------------------------------------------------------
    Answering to your query “Is CPT 75625 billable "with" Cardiac cath?

    If Physician provides “second diagnosis” unrelated to abdominal angio with a specific indication,
    "YES"
    you may bill 75625.

    75625 and 75630 with cardiac catheterization may be denied unless they are performed for specific conditions that
    warrant selective investigation. The policy also specifies, these services will be subject to special review.

    EXTRA-CARDIAC ANGIOGRAPHY:

    Second Diagnosis Required when UNRELATED abdominal aortography is performed during the same session as a heart cath, documentation needs to indicate clearly where and why the additional angiography was performed

    Additionally, if the cardiologist is able to make a case for the medical necessity of the procedure in the patients record, the abdominal aortogram may be payable even if the reason for the service does NOT correspond to a diagnosis on the carriers list.

    Please look up the ADDED ICD -9 CM codes that support the medical necessity for indications supporting extra-cardiac angiography 75625-75724 and 36120-36248 performed during the same encounter as cardiac catheterization
    CMS has updated the LCD policy with added ICD-9 cm codes.

    Please access the above information from the Medicare monthly review MMR at NGS
    Last edited by msrd_081002; 02-11-2011 at 07:56 PM.
    Thanks

  5. #5
    Default
    Quote Originally Posted by msrd_081002 View Post


    -----------------------------------------------------------------------------------------------------
    Answering to your query “Is CPT 75625 billable "with" Cardiac cath?

    If Physician provides “second diagnosis” unrelated to abdominal angio with a specific indication,
    "YES"
    you may bill 75625.

    75625 and 75630 with cardiac catheterization may be denied unless they are performed for specific conditions that
    warrant selective investigation. The policy also specifies, these services will be subject to special review.

    EXTRA-CARDIAC ANGIOGRAPHY:

    Second Diagnosis Required when UNRELATED abdominal aortography is performed during the same session as a heart cath, documentation needs to indicate clearly where and why the additional angiography was performed

    Additionally, if the cardiologist is able to make a case for the medical necessity of the procedure in the patients record, the abdominal aortogram may be payable even if the reason for the service does NOT correspond to a diagnosis on the carriers list.

    Please look up the ADDED ICD -9 CM codes that support the medical necessity for indications supporting extra-cardiac angiography 75625-75724 and 36120-36248 performed during the same encounter as cardiac catheterization
    CMS has updated the LCD policy with added ICD-9 cm codes.

    Please access the above information from the Medicare monthly review MMR at NGS
    Thanks for that info.
    Most of the time, I see that abdominal aortogram performed when the doctor has a hard time advancing the catheter up the iliac artery. I bill the g-code when I see that happen. When would you bill the 75625 code after a heart cath?
    Thanks,
    Jim Pawloski, CIRCC

Similar Threads

  1. G0275 Deleted...?
    By Robbin109 in forum Cardiology
    Replies: 6
    Last Post: 03-06-2014, 05:35 PM
  2. G0275 documentation requirements?
    By wblock in forum Cardiology
    Replies: 2
    Last Post: 01-31-2014, 03:55 PM
  3. G0275 & g0278
    By decus1956 in forum Interventional Radiology
    Replies: 2
    Last Post: 04-23-2013, 12:59 PM
  4. 75625 vs 75630 ???
    By Robbin109 in forum Cardiology
    Replies: 1
    Last Post: 01-03-2013, 01:04 PM
  5. G0275 & G0278 Bundled with new cath codes?
    By mmarcum in forum Cardiology
    Replies: 2
    Last Post: 03-12-2011, 04:15 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?

Login

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.