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Coding for Radiofrequency Ablation - Radiofrequency Ablation

  1. #1
    Default Coding for Radiofrequency Ablation - Radiofrequency Ablation
    Medical Coding Books
    Venous Ablation of Great Saphenous Vein

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    I have a question regarding coding for Radiofrequency Ablation of the Great Saphenous Vein. Normally our physician makes one access site and completes the Radiofrequency of the Vein. However this example, he made the one access site, but couldnt get through due to tortuosity. So he had to make another access site to complete his Ablation. Its only on the one vein. Is is still 36475 or is there another code since he had to make another access site? I do not want to charge 36476 since only one vein was treated. Please advise. Thanks

    Amber

  2. #2
    Location
    Richardson, TX
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    I would bill only for the 35475 since only one vein was treated. Unfortunately, he won't get credit for having to use another access site, unless you feel that a 22 would be sufficient because of the extra work and tortuosity (if documented as such).
    Julie Graham, BA, CPC, CCC

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