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Heart cath with peripheral

  1. #1
    Location
    Columbus, Ohio
    Posts
    30
    Default Heart cath with peripheral
    Medical Coding Books
    Need some advice on what to code for the peripheral part of this.

    Procedure: Left Ventriculography, Left Cardiac Catherization, Coronary Angiography and Abdominal Aortography

    Indications: Chest pain, Shortness of breath, Atherosclerotic coronary artery disease in the native coronary artery. Positive stress nuclear stress test.

    Description of procedure:
    Approach:
    - Right femoral artery approach. Access method: Percutaneous puncture.

    Findings/interventions:
    Aortography injecions
    -The pigtail catheter was advanced into the suprarenal aorta and an injection of contrast was performed.

    Aorta and Major Vessels
    - There was a 70 to 80% difuse atherosclerotic stenosis in the right common and proximal external iliac arteries. There was a 70 to 80% diffuse atherosclerotic stenosis in the left common and proximal external iliac arteries. There was a 40 to 50% diffuse atherosclerotic stenosis in the infrarenal aorta.

    Provation coded this 75625 and G0278. Would that be correct? How would this be coded MCR and Commercial??
    Thanks!

  2. #2
    Location
    Salt Lake City
    Posts
    841
    Default
    36200
    75625
    G0278

    did the physician leave the catheter in the aorta and not go any further?
    Jenifer McPolin CPC, CPMA, RCC

  3. #3
    Location
    Columbus, Ohio
    Posts
    30
    Default
    Yes, the catheter was left in the Aorta. If it's non Medicare then would you bill 75716 instead of the G0278 or should it be 75630?
    Kelly Lallier, CPC, CCVTC

  4. #4
    Location
    Phoenix, AZ
    Posts
    620
    Default
    I would bill the 75630 (with -26?) if not billing to Medicare.
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

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