Ask Dr. Z

Dr. Z Normally my doctor will do catheter placement in the aorta L1 then pull catheter down to the birfurcation and do a bilateral run-off. (36200 75625 75716) Now he is starting to do catheter at same level but then moves the catheter to the contralateral side (CFA) to do leg run-off then he goes to the popliteal does another arteriogram and so on down the leg. He will dictate what he sees in the aorta and the common and external iliacs.(75630 or 75625. At the CFA level he reports what he sees there and then at the popliteal level what he sees (75710 and 75774 or more depending on what he documents) I think this is over coding because he does not document why he is doing all the different levels. I have read the book and looked at the questions and answers and don't see anything that exactly fits. Help Suzan