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36147 and IVUS

Date: Jul 3, 2012

Question:

I have a physician who accessed a left arm AV graft then used IVUS to study from the venous anastamosis to the subclavian vein. I am unsure how to charge this. 36147 generally covers access and imaging, but would this include IVUS? The dictation has no documented contrast injections. If I should charge for the IVUS, how many are appropriate? Should I charge one for each vessel examined and interpreted or, similar to PTA/stenting, charge once per "zone"? Thank you for your help with this!
Question ID : 3940
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