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Interventional Radiology questions

  1. Default Interventional Radiology questions
    Medical Coding Books
    Hello, these are 2 questions from an exam my friend was taking and she wanted me to ask about the answers if anyone can help I would appreciate it. She is currently in school and sitting for the CPC exam later this year and I thought this would be a good place to ask.

    1. ASPVD of the Iliac artery. Via a right transfemoral route, a cath is placed selectively in each internal Iliac artery and angiogram was performed, a PTA with stent placement of the right was also performed, follow up angiogram showed no stenosis.
    Procedure: ICD-9

    2. Carotid Stenosis of the right artery. A Selective angiogram was performed via the right femoral with catheter placement in the RT Common and Left Common Carotids.
    Procedure: ICD-9

  2. Default Bilateral internal iliac
    Bilateral internal iliac and stent placement
    1)CPT CODES:36246

  3. Default Bilateral common carotid
    Bilateral common carotid
    1)CPT CODES:36216



  4. #4
    Milwaukee WI
    Default Ethical problem
    I do not think we should be giving students answers to test questions. They need to learn how to find the answers on their own, not just rely on a forum where more experienced coders will given the answers.
    Just my opinion
    F Tessa Bartels, CPC, CPC-E/M

  5. Default
    Thanks Shirley for your response.

    F Tessa she already took the test and was graded she didn't get these 2 correct. I should have written that initially. I don't want to be unethical in the forum. No harm intended.


  6. Default

    Sorry for giving answers , i dont know the forum ethic ,hereafter i only give suggestions.


  7. #7
    Milwaukee WI
    Default Providing answers / suggestions
    You're a peach of friend to try to help your friend understand coding. It can definitely be complicated!

    However, I think your friend would be better served by asking her instructor what the correct answer is and why her response was incorrect. This way the student not only learns the correct answer, but learns what about the scenario or the coding protocols in CPT make one answer correct and one answer incorrect.

    I've certainly missed the mark (as, I'm sure, we all have) when for whatever reason we overlook a word or phrase in a scenario that makes a difference in selecting the correct code. So, while there was no harm done, since the student had already taken the test and been graded, giving our answers to the scenario doesn't entirely help the student, either.

    Learning to think through the rationale for one code vs another code is part of being a professional coder.

    Best of luck to your friend in taking the CPT exam; she already has one resource to network with for future on-the-job puzzles, so she's ahead of the pack.

    F Tessa Bartels, CPC, CPC-E/M

  8. Default
    Thanks F Tessa and don't think I didn't direct her to the teacher (let me write this my friend half listens)

    I am sure she will do fine on the exam, I told her she second guesses herself too much but hopefully that will pass one day.


  9. #9
    I don't think that is completely fair. I am new to some aspects of coding although I have been coding for over eleven years. Sometimes I cannot get the correct answer even if I attempt 100x in interventional radiology. It is not always so easy and a more experienced coder or someone who can see it from a different perspective is just what is needed. Then the person with lesser knowledge can go "ooooooh, i get it now". Sometimes we all need an outside opinion and where else can you get one from if we can' get it from this forum?

  10. Default
    Ok ethical questions behind us. Does anyone agree with the answer given for the iliac stent? Looks more like
    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

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