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IVUS without Intervention or Angiography

Date: May 7, 2013

Question:

We have a vascular surgeon who performs IVUS imaging on patients with venous congestion syndrome or venous hypertension. He routinely images the IVC, bilateral common iliacs, external iliacs, and common femoral veins. Venography is not done during these procedures. When no intervention is done, how should I be coding for the IVUS? What I have been doing is coding for the bilateral catheters placements in the IVC (36010, 36010-59) and for the S&I portion of the IVUS (75945, 75946 x 6). Is this appropriate coding?

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