Recent content by Jess1125

  1. J

    Wiki Resection of xiphoid process

    Would this be 21620? The provider chose 21630 but not sure that's right? The patient's identity and planned procedure verified, and the patient was placed on the operating room table in the supine position. The patient was prepped and draped in the standard fashion. An small midline incision...
  2. J

    Wiki Sealing of coronary aneurysm with vascular plug

    Any ideas on code for this? Will I have to use unlisted? 1. Sealing of a large coronary aneurysm with a vascular plug. He was admitted to the hospital a few days ago with sepsis. He was found to have an elevated troponin. An echo showed preserved left ventricular function but there was...
  3. J

    Wiki Sealing aneurysm with vascular plug

    I haven't seen this before. Any idea on cpt to use for this? PROCEDURES: 1. Sealing of a large coronary aneurysm with a vascular plug. DETAILS OF PROCEDURE: Local anesthesia was attained in the right groin. A 6-French long sheath was placed in the right femoral artery. An angiogram was...
  4. J

    Wiki Holter monitor dates

    I would do 93225 hook up date and 93227 when the provider did the interpretation.
  5. J

    Wiki Coronary Sinus Venography

    Is there a code for coronary sinus venography? What should I use if anything? It was done during an ablation.... Given our lack of response on the left side, we then pulled back to the right atrium. We positioned the Agilis into the coronary sinus and performed coronary sinus venography...
  6. J

    Wiki Pericardial drain removal

    Is there a cpt code for pericardial drain removal? I am not finding one. Wondering if the removal is included in the insertion of it? Please advise. Thanks, Jessica C
  7. J

    Wiki Pulmonary angiogram/thrombectomy

    Hi All, Can you please help me with this portion of a cardiac catheterization note? I have ideas on codes but want to put question out there because I'm not 100%. First time I've seen this done with cath: PULMONARY ANGIOGRAM DATA: The pulmonary angiogram was performed with 5-French pigtail...
  8. J

    Wiki Clinical Trial Number????

    Hi, I rec'd a denial from UHC Medicare Complete for carotid stenting, cpt 37215, stating "missing clinical trial information". I've coded this procedure out a handful of times without clinical trial number and never had any issues. I'm aware that this is an inpatient procedure but that's really...
  9. J

    Wiki Lengthy Peripheral study-need help!

    Any takers?
  10. J

    Wiki Lengthy Peripheral study-need help!

    OK, would someone please be willing to read this and let me know about codes? I have: 93454.26 36221 92928.RC 92978.26.RC 75710.26 I'm stuck on the rest. Could the 35475/75962.26 be used for PTA of radial artery? Any catheter placement code I may be missing? Uggh, this one was a doozy for me...
    • Jess1125
    • Thread
    • artery patient radial sheath spasm
    • Replies: 1
    • Forum: Cardiology
  11. J

    Wiki Denial - I got a denial from Anthem here

    Thanks! Your thinking is totally fine. I'll double check the units on the 93286.26. I wouldn't do the 93287, no, for after... Jessica
  12. J

    Wiki Denial - I got a denial from Anthem here

    Hi there, I got a denial from Anthem here. I'm pretty sure this will just have to be appealed but wanted to be sure. Codes billed: 93620.26 93621.26 93286.26.59 x2 33233 33249 93641.26 Basically we have an EP study followed by upgrade of a dual pacemaker to a dual ICD. Anthem paid for all...
  13. J

    Wiki Adenosine study during cath

    Hi all, I'm pretty sure this isn't separately billable at all but wanted to be sure before I put the charges for the cath through. (Billing physician side so just professional portion...) Appears to be a pharmacologic cardioversion I thought. INDICATION FOR STUDY: Atrial arrhythmia...
  14. J

    Wiki Temporary Pacemaker

    I've never seen this before. Provider did a repositioning of a temporary pacemaker. Do I bill anything for this? Use unlisted cardiovascular procedure? Jessica CPC, CCC
  15. J

    Wiki Loop recorder removal/pacer insert

    Just out of curiosity, when was the loop recorder inserted? If it was in the 90 days prior you would need to put modifiers on the 33284 and 33208 such as a -78 on the 33284 and -79 on the 33208. I can say I've had this scenario once or twice but don't recall there being any issues with payment...
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