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radial access abandoned

  1. Default radial access abandoned
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    I have a question. If during radial access is abandoned due to torturous vessel and the heart cath has to be done thru the femoral. Is the radial access billable? I know for periphs it is.

    Thanks
    Theresa CCS-P CPMA CCC ICDCT-CM

  2. #2
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    That's a good question, I'm curious to know how others would handle this situation. I believe I have billed for this circumstance before but I am unsure if it paid or not. The one I can recall the patient had a congenital anomaly in the radial/brachial area and that is why access was terminated and access gained in the femoral. I don't see it happen very often though.
    A.Dimmitt, CPC, CIRCC
    Durham, North Carolina

  3. Default
    Quote Originally Posted by dimmitta View Post
    That's a good question, I'm curious to know how others would handle this situation. I believe I have billed for this circumstance before but I am unsure if it paid or not. The one I can recall the patient had a congenital anomaly in the radial/brachial area and that is why access was terminated and access gained in the femoral. I don't see it happen very often though.
    No not very often but I believe you can bill for it as long as its not for roadmapping. Just checking if others do? It was a question posed to me from a few others. As long as there is medical necessity.
    Theresa CCS-P CPMA CCC ICDCT-CM

  4. #4
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    Quote Originally Posted by theresa.dix@ethc.com View Post
    I have a question. If during radial access is abandoned due to torturous vessel and the heart cath has to be done thru the femoral. Is the radial access billable? I know for periphs it is.

    Thanks
    This tends to be subjective to me. I would not normally bill for an abandoned access (36140 or 36120 etc). However, if the doc actually advances a catheter to the aorta or beyond and then abandons, that is occassionally an exception. I will say that billing for this is permitted by coding convention standards, but I doubt that it is very often reimburesed.

    HTH
    Danny L. Peoples
    CIRCC,CPC

  5. Default
    Quote Originally Posted by dpeoples View Post
    This tends to be subjective to me. I would not normally bill for an abandoned access (36140 or 36120 etc). However, if the doc actually advances a catheter to the aorta or beyond and then abandons, that is occassionally an exception. I will say that billing for this is permitted by coding convention standards, but I doubt that it is very often reimburesed.

    HTH
    Thanks Danny!
    Theresa CCS-P CPMA CCC ICDCT-CM

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