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36200, 75625, 75716

  1. #1
    Question 36200, 75625, 75716
    Medical Coding Books
    Should this be coded as 36200, 75625, 75716? Also, where can I read up on how to code interventions correctly?

    PROTOCOL: After written informed consent was obtained, the patient was
    brought to the peripheral vascular lab and both groins are prepped and
    draped in a usual fashion. Xylocaine was infiltrated in the left groin
    and access achieved with a 5 French sheath and subsequently a 5 French
    OmniFlush catheter was advanced to the position of the L1 level.
    Abdominal aortogram was performed. Subsequently catheter was pulled
    back above the level of the bifurcation and 80 mL of contrast bolus
    chase method was used for imaging. No complications occurred. After
    completion of the procedure, StarClose method was used for hemostasis.

    1. The abdominal aorta and the renal arteries are normal.
    2. Common iliac, external iliac, femoral, common femoral arteries,
    superficial femoral artery, and popliteal arteries show only mild
    atherosclerosis and luminal irregularities.
    3. Inferior popliteal disease is present bilaterally. Right inferior
    popliteal disease demonstrates 70% ostial posterior tibial artery
    stenosis, which is followed by 50% disease of the peroneal artery in
    mid segment and the anterior tibial artery is patent with good flow and
    there is presence of three vessel runoff to the foot.
    4. The left circulation reveals the left posterior tibial artery is
    patent with good flow. The left peroneal artery is totally occluded in
    the mid segment and reconstitutes in the distal segment, and anterior
    tibial artery is showing mild to moderate disease with three vessel
    runoff to the foot.

    High grade stenosis of the ostium of the right posterior tibial artery,
    however three vessel runoff is present and moderate disease is noted in
    the peroneal artery.

  2. Default
    I was just reviewing these codes on pages 373 & 480 in the CPT book. You may have to read it several times to fully comprehend. But it should be helpful.

  3. #3
    Please check 36200 and 75630-26. A run-off is performed of LE arteries.
    Girish Dadhich, CPC

  4. Default
    Quote Originally Posted by dadhich.girish View Post
    Please check 36200 and 75630-26. A run-off is performed of LE arteries.
    You are absolutely correct in coding this 36200, 75625 ,75716

    There were two injections in the aorta, one at the level of the L1 and one at the bifurcation. 75630 is only one injection in the aorta at the level of the renals and runoff to the legs.

  5. #5
    Thank you. This information was very helpful!

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