Recent content by Jim Pawloski

  1. J

    Wiki global surgery

    Modifier not needed.
  2. J

    Wiki LHC

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

    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
  4. J

    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
  5. J

    Wiki 95967....59 mod on subsequent 95967's?

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

    Wiki pericardiocentesis

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

    Wiki What is the cpt code for bilateral tPA infusion for PE

    I hope the modifier -50 was added to 36014.
  8. J

    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
  9. J

    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.
  10. J

    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 arteries. When they are not named you give them 2...
  11. J

    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
  12. J

    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
  13. J

    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.
  14. J

    Wiki CTI then DCCV

    Only if the cardioversion was before the intervention.
  15. J

    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 the room watching over me. Jim Pawloski, R.T. (CV)...
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