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Here is your ZHealth Coding Newsletter for April
2006
Below is
one recent coding question (submitted by a ZHealth Online member)
& Dr. Zielske's answer--
Coding
Question: Dr. Z., I have a case where the
patient has a duplicated inferior vena cava. There
are 2 access points-left femoral vein and left internal
jugular. Through both access sites, catheter is
placed in the IVC with and IVC-gram. Then, IVC
filters are placed in both. How would I code
this? I am assuming there are edits on reporting
75825 X2 as well as the filter placement codes. Thanks
in advance!
Dr. Z's
Answer: I would code each
diagnostic study, catheter placement and filter
placement separately, and the result would be that all
four codes would be submitted as duplicates. You
should be paid, but don't be surprised if they ask you
for documentation. This is one of the medical
necessity reasons that we perform IVC o grams with
filter placements, because if you placed a filter in one
of them, large clots from the leg could still get to the
lungs and give a pulmonary embolus without this extra
protection.
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2006 ZHealth Coding
Conferences
We hope that
you can join us at one or more of ZHealth's
interventional radiology and cardiology coding
conferences in 2006:
April 25-28
at Bally's Hotel in Las Vegas, NV--there's still
time to sign up!
Sept 12-15
at the Gaylord Opryland in Nashville, TN
Nov 7-10 at
the Wynn Las Vegas, in Las Vegas, NV
Dr. Z's 2006 Medical Interventional
Radiology Coding Reference
The 2006 Edition of Dr Z's Medical Coding Series:
Interventional Radiology Coding
Reference is now
shipping. Also,
remember that as a ZHealth
Online member
you'll receive a 10% discount off any book order (or
conference registration). See the Table of
Contents and
an example
chapter. Your 432
page 2006 Edition includes:
-
New 2006 code
changes
-
New chapters
on Percutaneous Thrombectomy & Neurovascular
Interventional procedures
-
New codes for
intracranial intervention, urologic intervention,
kyphoplasty, etc. procedures
-
New, and
expanded examples
-
New and
updated coding sheets
-
New
Terminology section
-
...and
much more
Note that there are additional
discounts if you order more that
two copies of the book. And the 2005 edition is
available now for only $75.
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