Please note this question was answered in 2010. The coding advice may or may not be outdated.
Question:
We have a vascular surgeon that performs AV shuntograms and PTA's of the shunt in a surgical suite. A radiology tech will typically provide the fluoroscopy. The radiology department wants to charge 76000, on the facility side only, for the work/time provided by the tech. Is this allowable? There are no CCI edits, on the facility side, when both 36147 and 76000 are used together even though 36147 includes fluoroscopy. There is a CCI edit when both 76000 and 75978 are charged. We instructed the radiology dept not to charge 76000 with 75978. However, we were uncertain when only an AV shuntogram was done and the tech provided the fluoro. Thank you for your help.
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