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Interventional Radiology questions

  1. #11
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    Medical Coding Books
    Quote Originally Posted by lisammy View Post
    Ok ethical questions behind us. Does anyone agree with the answer given for the iliac stent? Looks more like
    37205
    36246
    75960-26
    possibly also a 75736-26 if it has not been documented that the stenosis was already seen on a previous agram then a -59 would need to be added to the 75960-26
    Actually, the -59 goes on the 75736. That's the component/edited procedure. The bilateral internal iliac arteries are coded as 36245-59 (ipsilateral), 36246 (contralateral). 75736 would be coded for each side (one RT, one LT), so you'd have 75736-26-59-RT, 75736-26-59-LT. As you mentioned, the diagnostic angiographies would only be coded if the CPT criteria for coding diagnostic angiography are met - i.e.:
    - No prior catheter-based angiographic study is available and a full diagnostic study is performed, OR
    - A prior study is available but, as documented in the medical record, the patient's condition with respect to the clinical indication has changed since the prior study, OR
    - There is inadequate visualization of the anatomy and/or pathology, OR
    -There is a clinical change during the procedure that requires new evaluation outside the target area of intervention).
    Stacy Gregory, CPC, CCC, RCC

  2. #12
    Default
    I think

  3. Default new to interventional radiology coding
    we have a new neurosurgeon that does interventional radiology procedures, I have no experience in this field, would anyone be willing to teach me?
    Thank you!

  4. Default
    ya sure i also studied like this only ,ready to help for ur queries upto my knowledge,AAPC forum helped me a lot specially mindys(A member of AAPC)

  5. #15
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    I need help with coding on following Procedures:

    1) Carbon dioxide angiography of the left iliac artery
    2) Carbon dioxide angiogram of the right iliac artery and right internal iliac artery.
    3) Intravascular ultrasound of the left common iliac artery.
    4) Coiling of the right internal iliac artery with multiple EV3 coils.
    5) Stenting of the right common iliac artery with a Viabahn covered stent.
    6) Preclosure of the arteriotomy site with 2 Perclose devices.

  6. #16
    Location
    Alexandria, LA
    Posts
    518
    Default
    Quote Originally Posted by rparikh View Post
    I need help with coding on following Procedures:

    1) Carbon dioxide angiography of the left iliac artery
    2) Carbon dioxide angiogram of the right iliac artery and right internal iliac artery.
    3) Intravascular ultrasound of the left common iliac artery.
    4) Coiling of the right internal iliac artery with multiple EV3 coils.
    5) Stenting of the right common iliac artery with a Viabahn covered stent.
    6) Preclosure of the arteriotomy site with 2 Perclose devices.
    All on the same patient, same session?
    # 1 and # 2 - which iliac artery?

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