ZHealth Coding Newsletter - June 2016

June 2016 Q & A

Question: Upper Extremity Angiography with Thoracic Aortography

Using direct ultrasound guidance, the right common femoral artery was accessed with a micropuncture needle. Through this access, a 5 French sheath was placed. A flush catheter was advanced into the ascending thoracic aorta. Aortography was performed. 5 French catheter and wire were advanced into the left subclavian artery. Arteriography was performed. There was poor visualization of the arteries beyond the fistula anastomosis. 36215-59 for subclavian, 36221 for thoracic aortogram?
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CPT® 2016: Percutaneous Biliary Interventional Coding

CPT® 2016: Percutaneous Biliary Interventional Coding

Part 2: New codes change the way you should report these procedures.

For 2016, the biggest CPT® coding changes affecting interventional radiology occur within the subspecialties of urinary, biliary, and neurologic intervention. Last month, we covered urinary intervention. This month, we’ll discuss the major changes in percutaneous biliary interventional coding. Next month, we’ll cover CPT® updates for percutaneous neurologic intervention.

Read the whole article.

Originally presented in "Healthcare Business Monthly".

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ZHealth Coding Newsletter - April 2016

April 2016 Q & A

Question: Popliteal Aneurysm

We are looking for a code for popliteal aneurysm (37236?). This is what one of our physicians said: "34900 code is an aneurysm procedure code, and although specifies iliac it is far more reflective of the procedure type and work, including large sheath placement that is involved with popliteal aneurysm repair. In fact the 2 procedures are almost identical except one is done at a more distal location." What code do you suggest we use for popliteal aneurysm and why?

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