This is what I have so far: 76937, 36010, 75825, 37620, 75940 for IVC filter.
To be honest with you I have not read the report enough to give you all the codesâ€¦ because of time restraints but for the IVC I wanted to commentâ€¦.
I would not code 76937 because this is a guidance code and interpretation of the images are included in the S&I codes. Also, the 75825 is bundled and there is not enough documentation to support it. There was known thrombosis before the procedure began.
This is an article released by SIR this year on coding IVCâ€™sâ€¦
Placement of an inferior vena cava filter is usually done after
obtaining access to the inferior vena cava and performing an inferior
vena cavagram to assess the size of the inferior vena cava, the
presence of anomalous venous drainage, to look for the presence of
thrombus and to assess the location of the renal veins.
These indications are primarily for the benefit of the interventional
radiologist in order to provide the necessary information of where to
properly position the inferior vena cava filter. The inferior vena cavagram
is very seldom performed in order to assess the actual need for
the filter, as that has usually been predetermined on the basis of the
patientâ€™s clinical information.
The cavagram, therefore, is considered to be â€śroadmapping,â€ť as it is
used to determine only where the filter will be placed and not usually
if the filter should be placed. The inferior vena cava filter gram is not
to be separately coded for inferior vena cava filter placement.
Certain scenarios may exist in which the inferior vena cavagram is
considered necessary for diagnosis. If the unexpected diagnosis of
thrombus is made, the procedure is then in fact diagnostic. If the
decision of whether or not to place the filter is made on the basis of
the findings, then the cavagram is diagnostic. These indications
should be clearly defined within the context of the radiology report.
If the cavagram is diagnostic, then the interpretation code for the
venogram (75825) may be used with the â€“59 modifier, indicating
that both a diagnostic and therapeutic procedure have been performed
on the same day. _
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