Results 1 to 4 of 4

Cpt 0238t

  1. Question Cpt 0238t
    Medical Coding Books
    Is anyone having trouble getting Medicare to pay for an iliac artery atherectomy? They tell me it's non-covered, so if that's true what code should I be using?

    Thanks for your help,
    Susan

  2. Default
    Quote Originally Posted by sharper View Post
    Is anyone having trouble getting Medicare to pay for an iliac artery atherectomy? They tell me it's non-covered, so if that's true what code should I be using?

    Thanks for your help,
    Susan
    Yes this is what I have found also. It is non covered for Medicare and "other "payers pay at there fee if they allow. But now the cath placement is not bundled into this temporary code like the other new 2011 intervention codes. You are using the correct code for iliac atherectomy.
    Theresa CCS-P CPMA CCC ICDCT-CM

  3. Default
    So, what else can we do? For years it was a covered service using 35492 so this seems crazy. What would you bill if your doc did an iliac atherectomy?

  4. Default
    Quote Originally Posted by sharper View Post
    So, what else can we do? For years it was a covered service using 35492 so this seems crazy. What would you bill if your doc did an iliac atherectomy?
    You have to bill the temporary code. I have only billed it once since the new codes came out because it is not a procedure done very often that is why it is a temp code. Usually a stent is placed. You know the rule.You should report the code that adequately describe the procedure or service. Since there is one( a code) we have to report it. You cannot report an unlisted code. Some payors may reimburse for this, its up to them. You could probably find out.
    Last edited by theresa.dix@tennova.com; 07-08-2011 at 04:39 AM.
    Theresa CCS-P CPMA CCC ICDCT-CM

Similar Threads

  1. other IR procs coded with 0238T
    By Rita Bartholomew in forum Interventional Radiology
    Replies: 0
    Last Post: 07-25-2012, 02:02 PM
  2. Opinion on physicians supplying surgical cpt cpt codes
    By ORTHO1 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 02-17-2010, 04:15 PM
  3. Modifier for coding CPT 64612 & CPT 64613 on same day
    By anuja.devasthali in forum Modifiers
    Replies: 2
    Last Post: 08-22-2009, 12:33 AM
  4. Coding for CPT 97140 & CPT 97035
    By neha.bhatnagar in forum Modifiers
    Replies: 5
    Last Post: 06-10-2009, 12:01 AM

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.