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DX codes for 37205/36010/37250

  1. #1
    Default DX codes for 37205/36010/37250
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    I am having great difficulty finding the correct DX code for the procedures listed above. The Physician is doing a Intravascular U/S of inferior vena cava; bilateral common iliac vein; bilateral external iliac veins and bilateral common femoral veins. Also performed stent insertion, left common iliac vein; wall stent, stent insertion; left external iliac vein - wall stent; stent insertion; left common iliac vein - wall stent. also stent insertion right common iliac vein, wall stent; stent insertion right external iliac vein, wall stent and stent insertion right common femoral vein, wall stent.

    Findings: left common iliact stenosis; left external iliac vein stenosis; left common femoral vein stenosis; right common iliac vein stenosis; right external iliac vein stenosis; and right common femoral vein stenosis. Pre-px DX: chronic venous hypertension w/inflammation and leg swelling.

    I cannot find any compatible codes for Medicare that cover the veins.

    Dr. billed:
    37205, 75960, 36010, 37206, 75960, 36010, 37206, 75960, 37206, 75960, 37206, 75960, 37206, 75960, 37206, 75960 and

    37250, 75945, 37251, 75946, 37251, 75946, 37251, 75946, 37251, 75946, 37251, 75946, 37251, 75946 and

    76937

    All 76xxx codes have modifier -26 attached.

    Any insight would be greatly appreciated!

  2. #2
    Smile DX codes for 37205/36010/37250
    I can see why you had trouble. My friend and I looked and looked. She has 25 years of experience in coding. We are pretty sure that 459.81 Venous Peripheral Insufficiency (unspecified) would cover those diagnoses. Hope this helps. Take care.

  3. Default
    Quote Originally Posted by valariej View Post
    I am having great difficulty finding the correct DX code for the procedures listed above. The Physician is doing a Intravascular U/S of inferior vena cava; bilateral common iliac vein; bilateral external iliac veins and bilateral common femoral veins. Also performed stent insertion, left common iliac vein; wall stent, stent insertion; left external iliac vein - wall stent; stent insertion; left common iliac vein - wall stent. also stent insertion right common iliac vein, wall stent; stent insertion right external iliac vein, wall stent and stent insertion right common femoral vein, wall stent.

    Findings: left common iliact stenosis; left external iliac vein stenosis; left common femoral vein stenosis; right common iliac vein stenosis; right external iliac vein stenosis; and right common femoral vein stenosis. Pre-px DX: chronic venous hypertension w/inflammation and leg swelling.

    I cannot find any compatible codes for Medicare that cover the veins.

    Dr. billed:
    37205, 75960, 36010, 37206, 75960, 36010, 37206, 75960, 37206, 75960, 37206, 75960, 37206, 75960, 37206, 75960 and

    37250, 75945, 37251, 75946, 37251, 75946, 37251, 75946, 37251, 75946, 37251, 75946, 37251, 75946 and

    76937

    All 76xxx codes have modifier -26 attached.

    Any insight would be greatly appreciated!

    Reply-
    If you bill 37206 and 36010 for the same day, you will still get claims coming back. Code 36010 which includes stent placement -bundled.

    Dx-peripheral angiopathy - 443.9
    This is the common cause for inflammation of vessels that can be inferred from ultrasounds.
    Last edited by lavanyamohan; 08-12-2008 at 08:17 AM.

  4. Default Chronic venous hypertension with inflammation
    The Dx code is 459.32, but I believe the stenting codes 37205 & 37206 are for artery stenting and not veins. I may be wrong. I am new at endovascular coding and looking for information all the time. I am trying to code bilateral stenting of common liac arteries and external iliac arteries, do you have any pointers for me. I wondered if you could use 37205 initial stenting if you are doing the opposite side? So far I think I will just code 37205 RT 37206 LT 37206 RT-59 37206 LT-59 I hope you were able to get your question answered by someone knowledgeable, I am still looking for references for all of this PTA and stenting stuff.

  5. Default
    I think 459.2 compression/stricture of vein is covered by Medicare.

    Diane Huston, CPC,RCC

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