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Thread: Vascular families

  1. #1
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    Question Vascular families

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    Might be a dumb question but....can someone define the vascular families. I know what they are but where are they? are there only the 3 coming up and off the aorta? (subclavian,inominate ect.) are those the only ones?

  2. #2

    Default

    Vascular Families are located in Appendix L of your CPT 2011 book. The branches are assigned to orders. I hope this helps.

    Chris

  3. #3
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    Default

    ok i get that but lets say for example,
    IMA, SMA and Celiac are all selectively catheterized and pictures of each were taken would it be correct to code.....
    36245 x3
    75726 x3
    OR
    36245 x3
    75726
    75774 x2


    Thanks

  4. #4
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    Post

    36245 x3
    75726
    75774 x2

  5. #5
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    Default

    Thanks, anyone else have an opinion??

  6. #6
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    Default

    36245x3; 75726x3 since these are three separate vascular families off the aorta

  7. #7
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    Default

    36245 x 3
    75726 x 3.
    A vascular family starts with a vessel that comes off the aorta (or vessel punctured) and includes all branches of that vessel.
    So, with normal vasculature, the left subclavian starts one vascular family, the left common carotid starts one, the innominate starts one. Each bronchial artery that arises from the aorta is a separate vascular family. Each visceral artery that arises from the aorta is a separate vascular family. Each spinal artery that arises fom the aorta is a separate vascular family (which is why coding spinal angiograms can lead to many, many codes!)
    Since, in normal vasculature the SMA, the IMA and the Celiac all arise directly from the aorta, each is a separate vascular family - 36245 would be coded for each (assuming you didn't then cath futher), and 75726 would be coded for each.

    Appendix L is a good start, indicating the various vascular families - each artery listed as a first order vessel is the start of a new vascular family once you have gotten to the aorta- so innominate, L common carotid, l subclavian, intercostals, bronchials,etc.

  8. #8
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    Default

    Quote Originally Posted by donnajrichmond View Post
    36245 x 3
    75726 x 3.
    A vascular family starts with a vessel that comes off the aorta (or vessel punctured) and includes all branches of that vessel.
    So, with normal vasculature, the left subclavian starts one vascular family, the left common carotid starts one, the innominate starts one. Each bronchial artery that arises from the aorta is a separate vascular family. Each visceral artery that arises from the aorta is a separate vascular family. Each spinal artery that arises fom the aorta is a separate vascular family (which is why coding spinal angiograms can lead to many, many codes!)
    Since, in normal vasculature the SMA, the IMA and the Celiac all arise directly from the aorta, each is a separate vascular family - 36245 would be coded for each (assuming you didn't then cath futher), and 75726 would be coded for each.

    Appendix L is a good start, indicating the various vascular families - each artery listed as a first order vessel is the start of a new vascular family once you have gotten to the aorta- so innominate, L common carotid, l subclavian, intercostals, bronchials,etc.
    Donna gave an excellent explanation. I completely agree.

    HTH
    Danny L. Peoples
    CIRCC,CPC

  9. #9
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    Talking

    She really did, it helped...Thanks Donna! :-)

  10. #10

    Default

    I agree with the codes but there should also be the 59 modifier:

    36245
    36245-59 x 2
    75726
    75726-59 x 2

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