Recent content by churst21

  1. C

    Wiki AV Fistula and Revision same graft same session

    Place an AV Fistula closed the incision. Then made a separate incision and ligated a vein on that fistula. At this time, the previously identified lateral side bunch of the cephalic vein in the distal one-third of the forearm was identified and a 1 cm transverse incision made overlying its...
  2. C

    Wiki ventricular Assist Device

    Any help with these two reports is greatly appreciated. Doctor states that he did use bypass on either. Placement of an RVAD (centrimag) Pt was brought to the cath lab in an intubated condition and the area was prepped and draped in the usual sterile fashion. Under fluoroscopy and TEE the...
  3. C

    Wiki Planned chest closure

    should both 21750 and 35820 be billed or just the 21750 The patient was brought to the Operating Room and placed in a supine position. After induction of anesthesia, area was prepped and draped in the usual sterile fashion. The temporary sternal dressing was taken down. A chest...
  4. C

    Wiki thoracoabdominal aneurysm repair (33877)

    I have to Peripherial vascular doctors and one cardiovasular. The two PV surgeons acted as co-surgeon on the case. The CV surgeon just but the patient on bypass and took the patient off at the end of the case. I have no idea how to bill this since the bypass is part of the repair. Primary PV...
  5. C

    Wiki Impella VAD

    yes. if it's the axillary then it is an unlisted code. just have it priced as the 34812. I had to do the same.
  6. C

    Wiki Cardiothoracic Book

    I have the Dr. Z but don't give me much tips for the open surgeries. And I found the AMA reference book. I'm in the process of buying it.
  7. C

    Wiki Impella VAD

    33990 and 33992-59 if it was a different site. If the insertion was at the same site then I believe you just bill the insertion. You can bill 34812 in addition if was a femoral cutdown
  8. C

    Wiki Cardiothoracic Book

    Do any one know of a company that sells a Cardiothoracic coding reference book
  9. C

    Wiki repair of artery w/removal percutaneous vad

    I was thinking the same. Thanks
  10. C

    Wiki repair of artery w/removal percutaneous vad

    So my doctor started placing impellas into the subclavin artery. He is a chimney graft onto the subclavian artery to place the device. The patient comes back later he places an implantable vad and removes the impella, removed the graft. Takes a piece of the graft sews it the subclavian to...
  11. C

    Wiki 93990 and 93922 different sites

    93990 and 93922 are bundled and modifier isn't allowed so it isn't billible. but what if the the 93990 was done in the left upper for av and the 93922 was done of the lower extremities. Can it be billed then or not
  12. C

    Wiki VATS effusion drainage and pleurX Cath.

    How would this be billed. 32601 and 32550 or just 32550 PROCEDURES PERFORMED: 1. VATS drainage of left pleural effusion. 2. Left PleurX catheter placement. 3. Intercostal nerve block. PROCEDURE IN DETAIL: The patient was taken to the Operating Room and placed on the table in the supine...
  13. C

    Wiki 34101 vs 34111

    Patient had distal brachial embolus, entire radial and ulnar embolus. The doctor did an embolectomy of the brachial, radial and ulnar artery through one incision. Can he bill for both cpt codes 34101 and 34111.
  14. C

    Wiki Help w/ VIR coding of

    I have the same senerio so I decided to bill 36831 and 37238 but the only problem is 36831 requires a 59 modifier because it's bundled in 37238. So know I'm trying to find out if the 2 should be coded together
  15. C

    Wiki superficialization of av fistula CPT?-patient needs

    I know this is 2 years late. But I normally use 36832-revision of av fistula
See more
Top