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Here is your ZHealth
Coding Newsletter for June
2006
Below is one of the
recent interventional radiology/cardiology
coding questions submitted by a member of ZHealth
Online.
There are now over 600 searchable Q &
A's in the Dr. Z Forum database. Plus, as a member
you can access our Case-of-the-Month, ask your own
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week (note that
only paying members can ask
coding questions).
Coding
Question: Dr. Z, how would you code
an inferior vena cava filter exchange? Our
radiologists will remove the existing filter and place a
new one. We have been coding these procedures to
37203, 37620 and 36010. Please advise on the correct way
to code this situation. Thanks for your
time.
Dr. Z's
Answer: Your codes are partly correct.
You are performing two procedures: removal of a filter
and placement of a filter. The removal is reported
as an intravascular foreign body removal which is
reported with codes 37203 and 75961. The new
placement is reported with codes 37620 and 75940.
The catheter placement you're using (36010) is
correct. Remember to report the inferior vena
cavagram (75825-59) if diagnostic imaging is performed
and almost always a diagnostic study would be performed
prior to removal of the filter to be sure there is no
clot in the filter (if there was, the filter would be
left in place).
2006
ZHealth Coding Conferences
We hope that you can
join us at one of the two remaining ZHealth Publishing interventional
radiology and cardiology coding conferences in 2006:
Sept 12-15 at the
Gaylord Opryland in Nashville,
TN
Nov 7-10 at the Wynn Las
Vegas, in Las Vegas, NV
Read
what attendees had to say about our most recent
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