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2010 93556 and 75625

  1. #1
    Location
    Greeley, Colorado
    Posts
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    Question 2010 93556 and 75625
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    I am working old claim denials from 2010. The previous coder coded as follows:
    75625-26
    93510-26
    93545
    93556-26
    93543
    93555-26

    75625-26 is being denied as a qualifying procedure has not been received or paid.
    Per CPT for 75625 report 93544 for the injection procedure (yes it is documented for the aorta and run-off). My question - Doesn't 93556 include 75625?

    Thank you in advance...I don't have access to 2010 CCI edits to even give me a clue.
    Lisa Bledsoe, CPC, CPMA

  2. #2
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    Quote Originally Posted by Lisa Curtis View Post
    I am working old claim denials from 2010. The previous coder coded as follows:
    75625-26
    93510-26
    93545
    93556-26
    93543
    93555-26

    75625-26 is being denied as a qualifying procedure has not been received or paid.
    Per CPT for 75625 report 93544 for the injection procedure (yes it is documented for the aorta and run-off). My question - Doesn't 93556 include 75625?

    Thank you in advance...I don't have access to 2010 CCI edits to even give me a clue.
    Hi Lisa,
    First, is this patient a Medicare patient? If it is, 75625 should then be G0275. There is no separate injection procedure for the abdominal aortogram, this is injection and S&I charge. Catheter placement is bundled into heart cath charges.

    HTH,
    Jim Pawloski, CIRCC

  3. #3
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    Thanks Jim. These are Medicare denials. What if it was a non-medicare patient? What would pe the correct code in that scenario?
    I really appreciate your expertise! Thank you so much!
    Lisa Bledsoe, CPC, CPMA

  4. #4
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    Jim - not meaning to sound dumb...but G0275 says "renal angiography". Is that still applicable for aorta and bilateral run-off?
    Lisa Bledsoe, CPC, CPMA

  5. #5
    Default
    Quote Originally Posted by Lisa Curtis View Post
    Jim - not meaning to sound dumb...but G0275 says "renal angiography". Is that still applicable for aorta and bilateral run-off?
    G0275 says "Non-selective renal angiography. So the catheter is placed at the level of the renals and injected.
    As for non-medicare, you use 75625 for the aortogram,and 75716 for complete lower extremity angiogram
    HTH,
    Jim

  6. #6
    Location
    Greeley, Colorado
    Posts
    2,045
    Thumbs up
    Great - thank you so much!!
    Lisa Bledsoe, CPC, CPMA

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