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Thoracic Descending Aortography:

  1. #1
    Default Thoracic Descending Aortography:
    Medical Coding Books
    This procedure note below is in addition to a RHC.

    My question is what service is this, I'm looking at CPT 75605 and CPT 75630 and CPT 93567.

    Which one fits?



    Next a pigtail catheter was advanced to the descending thoracic aorta for aotrography, becasue of servere right iliac tortuosity to rule out aortic obstruction and aneurysm.



    Thoracic Descending Aortography: There is no eveidecne of aortic aneurysm or dissection. The abdominal aorta has mild tortuosity without obstructive diseases. There does not appear to be high grad occlusive diseas and either common iliac system.

  2. #2
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    Birmingham, Alabama
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    Quote Originally Posted by daniel View Post
    This procedure note below is in addition to a RHC.

    My question is what service is this, I'm looking at CPT 75605 and CPT 75630 and CPT 93567.

    Which one fits?



    Next a pigtail catheter was advanced to the descending thoracic aorta for aotrography, becasue of servere right iliac tortuosity to rule out aortic obstruction and aneurysm.



    Thoracic Descending Aortography: There is no eveidecne of aortic aneurysm or dissection. The abdominal aorta has mild tortuosity without obstructive diseases. There does not appear to be high grad occlusive diseas and either common iliac system.
    Daniel, the answer is dependent upon whether or not this was in conjunction with a heart catheterizaton procedure. If so, use 93567, otherwise use 75605. The other code is for an abdominal aortagram with bilateral lower extremities (technically ileofemoral).

    HTH
    Danny L. Peoples
    CIRCC,CPC

  3. #3
    Default
    So I take it that when I see

    Ascending aortography

    Descending thoracic aorotgraphy

    This is CPT 93567.



    In this case, what throughs me off is that he has that there's no high grade occlusive disease in either common iliac.

    So off an aortic root injection, you can get reads of the iliacs?

    Just trying to get the run done of this exam.

  4. Default
    Quote Originally Posted by daniel View Post
    So I take it that when I see

    Ascending aortography

    Descending thoracic aorotgraphy

    This is CPT 93567.



    In this case, what throughs me off is that he has that there's no high grade occlusive disease in either common iliac.

    So off an aortic root injection, you can get reads of the iliacs?

    Just trying to get the run done of this exam.

    daniel,
    93567 is an injection above the aortic root. The ascending aorta. If the descending aorta is injected you would not use 93567, because the 93567 is above the aortic root. Decending is a different area of the aorta.
    Theresa CCS-P CPMA CCC ICDCT-CM

  5. #5
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    Birmingham, Alabama
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    Quote Originally Posted by theresa.dix@ethc.com View Post
    daniel,
    93567 is an injection above the aortic root. The ascending aorta. If the descending aorta is injected you would not use 93567, because the 93567 is above the aortic root. Decending is a different area of the aorta.
    Daniel, Theresa is right of course. My advise to use 93567 during a heart cath was based on an assumption that the aortic root, not the descending aorta, was actually being injected. I doubt the doc read the iliacs from a thoracic aorta injection, more than likely from an injection to evaluate the access site.

    Do you have a particular report you could provide?
    Danny L. Peoples
    CIRCC,CPC

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