Recent content by msncoder

  1. M

    Wiki Anatomical charts

    I only use Dr. Z and Medlearn as they both work directly with AMA, ACR, and SIR to ensure all information they use and publish is supported by guidance/instruction set forth by one (or more) of those entities. We found way too many inconsistencies and misinterpretations of rules and guidelines...
  2. M

    Wiki Career in IR

    Peggy, Almost every specialty has different "rules" and both IR and cardiovascular surgery are particularly challenging areas. I have both AAPC's IR certification as well as an IR certification from a different vendor and can attest that the other vendor's certification and program focused...
  3. M

    Wiki Cardiothoracic Book

    AMA's CPT Reference Guide for Cardiovascular Coding includes cardiothoracic coding and Dr. Z's has one as well, both are really good.
  4. M

    Wiki ready to throw in the towel

    Bugsy, I have a few positions available for remote physician billing. I am in need of an experienced coder who is able to handle high volume work in a fast paced setting. We desire someone with a background in interventional radiology and/or vascular surgery coding (and must be able to prove...
  5. M

    Wiki 76831 SIS Hysterosonography Interpretation

    See if this helps you any. If you still need more info just let me know!
  6. M

    Wiki Certified Credentialer

    We have a certified credentialer available for remote/contract work. She has been with her current employer for 14 years however they have decided to shut down due to insurance budget cuts. I will forward her resume' to anyone who is interested!
  7. M

    Wiki IVR Coding charts

    Darla, Send me your email that you wish to receive coorespondence and I will forward/share the 2010 charts from SIR (Society of Interventional Radiology). Medlearn has a IVR coding guide...is that what you are looking for or for the color-coded charts?
  8. M

    Wiki Radiologist Intraoperative Fluro Coding

    If you are billing the professional component then you bill for what was read unless your doc is not providing a diagnostic interp. If the reports just states "films were obtained in OR and presented to radiology dept" or if the report says "films were presented from OR and all is normal" then...
  9. M

    Wiki azygos venogram

    This was just posted on the RBMA (Radiology Business Managers Association) coding forum regarding the azygos vein imaging. There are 2 different posts, one from 10/1/10 & the other from 8/3/10. --------------------------------------------------------------------------------------------- From...
  10. M

    Wiki azygos venogram

    Depends....where was the initial puncture? Were there more catheterizations besides the azygos? In most cases the only code you could use for the RS&I portion would be 75774 (selective VESSEL-which SHOULD cover both arteries & veins however not all insurance companies agree with that). Without...
  11. M

    Wiki Enterocutaneous Fistula Plug

    This may not be the same thing as your procedure bu this was just posted on the RBMA (Radiology Business Managers Association) Coding Forum. Walt Blackham is on the AMA board and several other boards. Subject: Re: Enterocutaneous Fistula Closure UPC for the closure and 20501+ 76080 for...
  12. M

    Wiki Sclerotherapy

    IMHO, I do not feel that they performed or dictated a true diagnostic venography. The way the dictation reads, the contrast injections were only performed as assurance that the sheaths/caths were in the appropriate vein before they injected the ethanol. In order to consider charging a venogram...
  13. M

    Wiki Sclerotherapy

    Sclerotherapy for venous malformation (which the report provided by Girish indicates), lymphangioma, hepatic cyst, seroma, abscess obliteration, etc. is billed as a UPC. Kathryn-why was your procedure performed? Spider veins? Varicose veins? Any type of varicosities? Or one of the reasons...
  14. M

    Wiki c6-c7 bx

    Not that 10022 would be considered incorrect in the event of an audit but CPT 62267 describes what was performed as well. 10022 is a "general" aspiration CPT whereas 62267 is specifically designated for the disc aspiration/biopsy. Since the RVUs for 62267 are double that of 10022 I'd say that...
  15. M

    Wiki c6-c7 bx

    63615 is performed under stereotactic guidance and since this report says CT guidance you couldn't use this code. Plus if you read the surgical description for 63615 (see below) it doesn't look like what was performed at all.....look at it and tell me what you think. 63615 Stereotactic...
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