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venography

  1. Question venography
    Medical Coding Books
    Hi mindys,
    For this report my codes are 36005, 36005-59, 75820 am i correct.
    What i have to do for additional angiography.

    Initially a 22 gauge angiocath was placed at the level of the
    wrist. Contrast was injected and digital subtraction venography
    was performed centered over the forearm. Although there was no
    extravasation, the forearm veins were very small caliber and the
    patient complained of pain upon injection. Therefore a second 22
    gauge angiocath was placed in an antecubital vein, through which
    the remainder of the venogram was performed. Contrast was
    injected and digital subtraction venography was performed from
    level of the elbow joint to the right atrium in multiple stations.

  2. #2
    Location
    Amarillo Texas Chapter
    Posts
    12
    Default Venography Query
    Hey Shirley,

    I guess ur codes are correct.
    We have one additional code 75774 but can be used only for selective cath placement.

    Regards,
    Dr Kusuma.

  3. #3
    Default
    I think I would just do the 75820 with the 2 punctures also.

  4. Default
    Can 75774 be used for veins , I thought it is only for arteries

  5. Default
    Thanks kusuma

  6. #6
    Default
    75774 can be used for any additional "vessel"...the code doesn't specify that it only has to be an artery. In this case you wouldn't need it though.

  7. #7
    Smile
    The injection can be billed twice 36005, 36005-59 but the venography is billed only once.I think this itself enough to bill the Venography and injection...


    Thanks
    HariHaran

    Regarding this for further information from Walt email supports the above my conclusion

    The code is question is described as follows:

    75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)

    Therefore by definition it follows that a venogram ( radiography of a vein) is an angiogram, and 75774 is to be used for selective venograms after the basic exam.

    Walt
    Last edited by Hariharan; 09-06-2008 at 02:21 AM.

  8. Unhappy
    But 75774 is in arteriography section know,

  9. #9
    Default
    Per the CSI Navigator for Interventional Radiology, 75774 is also listed in the venous section for "Selective, each additional vessel studied after basic examination"

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