Please note this question was answered in 2022. The coding advice may or may not be outdated.
Percentage of stenosis
Date: Jan 3, 2022
Question:
I understand that in order to bill for angioplasty in a dialysis circuit the percentage of stenosis must be greater than 50%. The physician I code for uses the word "narrowing" instead of "stenosis." For example: "There is focal narrowing in the mid fistula where the lumen is compromised by 85%." It is my understanding that the word "narrowing" may not always equate to "stenosis", but maybe I am wrong. If I am not, can you send me any information that would help me make my case?
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