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Jim Pawloski's latest activity

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Jim Pawloski replied to the thread Wiki global surgery.

Modifier not needed.

May 3, 2024
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Jim Pawloski replied to the thread Wiki LHC.

93459, but why was the leg imaged? Could have done doppler imaging?

Apr 26, 2024
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Jim Pawloski replied to the thread Wiki Sclerotherapy code 93971 UHC denial.

Ultrasound is bundled into sclerotherapy injections. 93970 and 93971 are mapping procedures and not billable during interventional procedures. HTH, Jim

Apr 25, 2024
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Jim Pawloski replied to the thread Wiki LATERALITY MOD ON CENTRAL LINE PLACEMENT?.

The third party payer want the laterality modifier. So I code 36561-rt for a right sided mediport insertion. HTH, Jim

Apr 22, 2024
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Jim Pawloski replied to the thread Wiki 95967....59 mod on subsequent 95967's?.

CPT says for each additional modality, so I say yes you can. HTH, Jim

Apr 19, 2024
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Jim Pawloski replied to the thread Wiki pericardiocentesis.

33016 - Pericardiocentesis - includes imaging guidance if performed. That should answer the question. HTH, Jim

Apr 19, 2024
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Jim Pawloski replied to the thread Wiki What is the cpt code for bilateral tPA infusion for PE.

I hope the modifier -50 was added to 36014.

Apr 10, 2024
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Jim Pawloski replied to the thread Wiki NEED HELP WITH ALL THESE EMBOLIZATIONS IM CONFUSED.

I agree with 37242 and 75726. The lt gastric to the rt hepatic is coded 36247 There is no 36245 or 36246 as there is no support for the codes from the dictation. No imaging for the u/s vasc. access, so no 76937. HTH, Jim

Apr 5, 2024
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Jim Pawloski replied to the thread Wiki embolization help.

I agree with 37242 and 76937. Since he started in the posterior tibial artery, I would code 36245 x 2 for the genicular arteries, no 75710 as this is not a diagnostic exam.

Apr 5, 2024
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Jim Pawloski replied to the thread Wiki emborrhoid procedure help.

37224 - Embolization for arterial bleeding 36247 - 3rd order selective - superior rectal artery 36248 - selective 2nd or 3rd order after the basic - at least 5 of these vessels is catheterized with a 2.4 microcatheter, however they are not named...

Apr 5, 2024
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Jim Pawloski replied to the thread Wiki emborrhoid procedure help.

I would code 37244, 36247, 36248 x 2, 75726, 75774 x 2. Would not code 76937 as no U/S image was saved. Question back to you, where did you get 36245? HTH, Jim

Apr 1, 2024
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Jim Pawloski replied to the thread Wiki NUMBER OF GUIDANCE CODES FOR RT & LT JUGULAR LINES.

MUE is two for these codes, so I would code 36556-50, 76937-50 and 77001-50. You may have to code them separately with a modifier rt & lt with 59, depending on payer. HTH, Jim

Mar 11, 2024
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Jim Pawloski replied to the thread Wiki Nephrostogram by Xray Tech?.

They changed the codes a few years ago and bundled 74425 into the codes. It is still billable on one code. That is injecting of a urethral catheter via ileal conduit.

Mar 6, 2024
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Jim Pawloski replied to the thread Wiki CTI then DCCV.

Only if the cardioversion was before the intervention.

Mar 6, 2024
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Jim Pawloski replied to the thread Wiki Nephrostogram by Xray Tech?.

Your billing for the doctor, who is interpretating the films. 74425 has been deleted from the nephrostogram, so you code 50431 for the procedure. And don't worry about the tech doing the procedure. I have done nephrostograms with the doctor in...

Feb 29, 2024

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