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AAPC HealthCon 2018 Winners!

Congrats to our AAPC HealthCon winners from last week!

Helena Polk, CPC - CIRCC Study Guide
Gary Chan, MD - Interventional Radiology Coding Reference
Linda King, CPC, CPCO, CPC-I, CCVTC, CEMC, CGSC- Vascular & Endovascular Surgery Coding Reference
Sheila Russell - Diagnostic & Interventional Cardiovascular Coding Reference
Kelly Brian - Cardiothoracic Surgery Coding Reference
Dana Dayries, CPC - Diagnostic Radiology Coding Reference

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ZHealth Coding Newsletter - March 2018

March 2018 Q & A

Question: 36904

How would you bill for crisscross infusion catheters placed in a AV dialysis fistula? Fistulogram showed thrombus within AV fistula with total occlusion. Successful crisscross placement of 5 F sheath and 10 cm infusion catheter within the venous limb directed peripherally and 6 French with 10 cm infusion catheter within the arterial limb directed centrally.

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ZHealth Coding Newsletter - February 2018

February 2018 Q & A

Question: Single Lead Pacemaker Generator Change

1. Pacemaker generator change 2. Placement of a new lead in the right ventricle 3. Capping and abandonment of old lead. When the existing right ventricular lead has been capped and abandoned and new lead is advanced into the right ventricular apex using a combination of straight and custom-formed stylettes onto new pacemaker generator, (pulse generator was also changed), should this procedure be coded as 33212, 33216, 33233? Or 33227 with 33212 and 33216, and is fluoroscopy always included in a pacemaker procedure?

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ZHealth Coding Newsletter - January 2018

January 2018 Q & A

Question: Peripheral Angiography with a Cardiac Cath

Left heart catheterization is ordered for a patient with unstable angina. The Op report states that the patient also has a small ulcer on the foot, a history of atherectomy of the SFA, and reassuring ABI. Catheterization is performed via a right radial artery access. Subsequently, the catheter is moved down to right common femoral artery where runoff of the right leg with digital subtraction at 2 levels is performed. CFA is normal and arthrectomy site is patent. Would this be coded 93458, 36247, 75710?

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