Here is your ZHealth Coding Newsletter
for April 2007
The following is a recent coding Q & A
submitted by one of our ZHealth Online
members:
Coding
Question:
The patient had a left vertebral artery aneurysm. He underwent coiling
and
subsequent ligation of that vessel. He has had severe intracerebral
vasospasm and intra-arterial verapamil was delivered with plan for
follow up
injections of verapamil. On day 1 we charge 37202 75896. On day 2,
"through an indwelling right common femoral artery sheath, catheter
selectively
into the right vertebral artery. A right vertebral artery angiogram was
performed, vasospasm involving the distal right vertebral artery.
Verapamil
15 mg was injected selectively into the right vertebral artery over a
period of 6 minutes."Same procedure repeated on day 3.My question is
regarding
code 37202, can we charge patient the Verapamil injection on day 2 and
day 3/both dates? Or dose code 37202 bill by surgical field, regardless
of
number of days injected? We had it coded on both day 2 and day 3 as
36217.52, 37202.59, 75685 and 75896. I really appreciate your advice.
Thanks.
Dr. Z’s
Answer: As
this was not continuous ongoing therapy, but separate treatments on
separate days,
I would code as you have. Did the MD perform follow-up imaging after
the therapy? If so, don't forget code 75898 after infusion therapy, as
long as
appropriately documented.
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