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Items Tagged: embolization
Jul 14, 2020
Q & A July 2020
Question: Embolization Dialysis Collateral Vein
Can you please let me know if I coded this correctly? The doctor says I should be able to code the cath placement into the collateral vein and the venogram. I thought it was included in the fistulogram and embolization.
US guided access into left forearm AV fistula (all documentation is there) 76937-26 fistulogram of left radiocephalic AV fistula and Central Venogram - PTA peripheral dialysis circuit in the outflow vein. 36902 Selective catheterization of lateral collateral vein arising from the peripheral juxta anastomotic outflow vein (included in embolization ?) Venogram of selected collateral forearm vein ( billable?) Embolization of selected collateral forearm vein 36909. My doctor asked me to verify with you.
Oct 25, 2016
October 2016 Q & A
Question: Femoral Stent to Stop Bleeding
A patient had a TAVR procedure and had continued bleeding of the femoral artery, so a femoral artery stent was deployed. What code do I use for this service? I see that the CPT book states, "Codes 37220-37235 are to be used to describe lower extremity endovascular revascularization services performed for occlusive disease," so I know that these codes do not apply since the stent was deployed for hemostasis. Is this a billable service?
Aug 30, 2016
August 2016 Q & A
Question: Embolization - 37241 for lymphatic malformation treatment
How do I code the following?
PROCEDURE: The left axillary lymphatic malformation was examined with ultrasound and a suitable access site for needle placement was identified and the skin marked. The left axilla was prepared and draped in the usual sterile fashion. Using ultrasound guidance the first site (site #1) in the deep aspect of the axillary region was accessed with a trocar 6.3 French Dawson-Mueller pigtail drain. Next, using ultrasound guidance, the second, more superficial site (segment #2) was accessed with a trocar 6.3 French Dawson-Mueller pigtail drain. Finally, a superficial collection (site #3) was accessed with a 21-gauge micropuncture needle through which direct injection of 2 mL of doxycycline was performed. The predominant injection solution composed of a 4:1 dilution of doxycycline (10 mg/mL): Omnipaque 300 was injected under ultrasound and fluoroscopic guidance, according to the following outline: A total of 160 mg doxycycline in 16 mL saline was injected.
Jun 30, 2016
CPT® 2016: Neuro-interventional Coding
Part 3: Understand the changes affecting neuro-interventional procedures.
For 2016, the biggest CPT® coding changes affecting interventional radiology occur within the subspecialties of urinary, biliary, and
neurologic intervention. In March, we covered urinary intervention and in April we covered percutaneous biliary interventional coding. This month, we’ll finish our series by focusing on transcatheter neuro-interventions and describing three new codes for 2016.
Read the whole article.
Originally presented in "Healthcare Business Monthly".
Apr 13, 2015
April 2015 Q & A
Question: Pre-Procedure SIRTeX GDA Embolization with Angiograms
We routinely perform pre-procedure embolization and roadmapping prior to the SIRTeX procedure. When the GDA is embolized we are using CPT code 37242 for the embolization. Can we bill the pre-procedure roadmapping for the SIRTeX at the same time as the GDA embolization? From report: IMPRESSION: Arterial mapping and coil embolization as described above for preprocedure SIRTeX SIR-Spheres selective internal radiation therapy (SIRT).