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    Wiki Abdominal Aortogram with run off

    Need clarification on code 36200 (Introduction of catheter, aorta). When the physician does an abdominal aortogram with run off and the catheter is in the descending aorta, would you code the 36200 with the bilateral run off or does the catheter need to be above the kidneys to code the 36200...
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    Wiki Balloon Aortic Valve Valvuloplasty code

    Dr did not state within the report that it was open. He states right femoral venous access. Need help with the primary code if anyone can help. Greatly appreciate it.
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    Wiki IVUS 92978

    A cardiologist did the cath intervention (from a different practice) and asked one of our doctors to perform the IVUS on the same day however the IVUS is a add on code. Does anyone know if we can bill this with some sort of modifier on the main code even though our physician was not part of the...
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    Wiki Learning Cardiothoracic

    I have done Cardiology coding for years but would like to learn Cardiothoracic. I would like to take classes, etc... Any idea's as where I might get this information? Thank you
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    Wiki Limited Echo

    Professional Component of a full Limited Echo. Would the codes be: 93308-26 93321-26 93325-26 I am questioning the 93325-26 I appreciate any help Thank you
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    Wiki Help with coding AngioVac removal of matter from tricuspid valve

    Need help please. Never coded this procedure before. Thank you
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    Wiki Need help with coding extirpation of matter from tricuspid valve using AngioVac catheter

    If anyone could help with coding please. I have not coded this procedure before.
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    Wiki Renal Stent placement

    We have a patient with RT renal artery stenosis, recurrent diastolic heart failure and uncontrolled HTN. Dr. did a right renal stent and abdominal aortogram. Codes inputed were 37236-RT and 75625 26,59 and the 99152. Insurance paid everything but the 37236 claiming dx was incorrect. Can anyone...
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    Wiki External Cardiovascular Telemetry

    Our office bills out 93228 for every 30 day review and interpretation with report. We have been adding a 26 modifier but are getting rejections. Is a modifier required? Thank you
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    Wiki Need help with Cath Stent code

    Dr stented a patient in the ostium of the RCA. The occlusion is between the aorta and beginning of the RCA I believe. I am not sure if I should use a 92928-RC or if there is another code for this type of situation. I have never coded one like this before. The section of the report reads: Then we...
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    Wiki Portable Ultrasound Device

    Our Cardiologist purchased a portable us device to take to the hospital and do limited echos on some of his patients. I use the CPT code of 93308 (echo, transthoracic, limited) but since it is his device he brings in I am unsure of what modifiers to attach to this claim. If anyone has an answer...
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    Wiki Cath placement for upper extremity

    I do not have up to date anatomy charts. I have a patient that had a left axillary angioplasty. I believe it to be first order. Can anyone confirm this to be correct? I appreciate it and thank you!!
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    Wiki Anatomy Charts

    Thank you
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    Wiki Help please! Stress Echo

    Our Dr. saw a pt for a nonstemi and the patient had a full echo (I bill pro fee). A few days later he did a "limited stress echo" to access low flow - low grade stenosis. I have never billed a "limited stress echo" and am unable to locate codes for this particular procedure. Any help would be...
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    Wiki Post procedure EKG

    Our doctor's have EKG done often for a post procedure for ex MI patient that stent was done. I put in dx code of Z48.812 (encounter for surgical aftercare following surgery on the circulatory system). I then put in the MI code. Not sure if I am putting the dx code in the correct order. I know...
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    Wiki Impella

    Help with code please! My doctor did a Impella using right femoral arterial access. I used code 33990 or should it be the unlisted code of 33999? 33990 (Insertion of ventricular assist device, percutaneous including R&I and interp; arterial access only) Thank you
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    Wiki Help with Cardioversion

    Can anyone tell me please that is my doctor was doing a cath and the pt went into vfib arrest can I bill the cardioversion 92960 in addition or is it inclusive? Thank you
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    Wiki Pulmonary Embolism

    If anyone could help please. My doctor did a bilateral EKOS for a pulmonary embolism. We got a rejection for the 50 modifier. Does anyone know if modifiers are used for those procedures? Also, can you bill for a bilateral mechanical thrombectomy? I was looking at code 37184. Thanks for any help
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    Wiki Pulmonary Embolism

    If anyone could help please. My doctor did a bilateral EKOS for a pulmonary embolism. We got a rejection for the 50 modifier. Does anyone know if modifiers are used for those procedures? Also, can you bill for a bilateral mechanical thrombectomy? I was looking at code 37184. Thanks for any help
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    Wiki Question on a Carotid

    Help with Carotid please!!! I have a patient that had a Right carotid PTA and Stent. I am using code 37236-RT Dr also did a right cerebral angio. Can I code for this and if so, what would be the cpt code? I am not able to locate one. Thank for any help!
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    Wiki Stent rejection

    Needing any input please. The office I code for is getting auths for caths. Once the doctor goes in and ends up doing a stent, the insurance is not covering that portion stating the auth did not cover that. My question is how would you to know under that auth what may or may not have been done...
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    Wiki Need help with cardiac monitor

    Our physician is now using a cardiac monitor (extended holter) in the office. They are cat III codes of 0295T & 0298T (more than 48hr and up to 21 days). Would anyone know where I could locate a reimbursement guide on these?
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    Wiki Carotid Stent Intervention Auth

    I am trying to obtain a auth for a Carotid stent intervention and I used 37215 but AIM is telling me it is no longer in use. I am not able to find a code that has replaced that and unfortunately I do not have the 2020 code book as of yet. Does anyone know if the code has changed for the new...
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    Wiki Consult

    I am confused about the use of critical care codes for Cardiologist. I have never billed them in the passed per my employer at the time but came across a article that the cardiologist can bill these out. Can anyone give me any direction as to find additional information about billing this code out?
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    Wiki R&L Bypass

    My doctor did a R&L. He mentioned non-selective to bypass but did angio in bypass. Would this be considered a R&L Bypass. CPT says cath placement in bypass graft
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    Wiki Needing help w/billing EKG

    A patient went into SVT and I billed professional component 93010 w/I47.1. Patient soon after had Adenosine and converted back to Sinus. Would anyone know how to apply ICD 10 codes to this EKG done 1/2 hour later after Adenosine given as they are now back into sinus rhythm? Thank you
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    Wiki Pericardiocentesis

    On the professional side, I am thinking I would need a 26 modifier on the pericardiocentesis code. Can anyone tell me if this is correct? Thank you
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    Wiki EKG and Cath

    Does anyone know what dx codes you would use on the EKG on a op cath day? Thanks!!!
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    Wiki Cath modifier

    Our cardiologist did a atherectomy on his patient but the procedure was assisted by another cardiologist within the same group. I am unclear as to what modifier to attach to this claim. Any help would be appreciated. Thank you
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    Wiki Normal saline injection

    Can you bill out for normal saline injection for a nuclear stress test? If the tech is just flushing the med or checking the IV during a persantine I would think it is not billable but I can not find any information on it. Thank you!!!!
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    Wiki Denial regarding add on code

    I billed out a stent and IVUS Codes: 92928-RC, 93454-26,59 92978-26,RC (IVUS) Plus blue is denying whole claim stating that add on code cannot be billed by itself. Does anyone know if I should be adding a 59 to IVUS? If so, would it be 92978 - 26,59,RC Thanks
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    Wiki MI vs Old MI

    Pt had a MI 7/15 and is in for cath site check. A MI code was used for this site check. Should it had been coded I25.10 with old MI code? Not sure as it has only been 7 days since the MI. Thank you
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    Wiki Modifier 62 denial

    Hi, I code for a cardiologist who also does peripheral vascular procedures. This physician also works with a vascular surgeon from another group on some of these procedures together. I am amending a 62 modifier to the primary code however I am getting denials on that code/modifier combination...
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    Wiki Renal Artery stenting

    Hello, Our doctor did a AAA repair and a right renal artery PTA and stenting. I used codes 34705, 34713 and 37236. I am getting a rejection back on 37236. Is there another code I should be using? Thanks
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    Wiki Bilateral carotid angio

    Can anyone please help with coding carotid. Thanks!!!!! · Procedure Details Patient is a 65-year-old male with recent heart failure reduced ejection fraction was found to have right carotid stenosis. Patient was brought for carotid and cerebral angiography to assess for possible carotid...
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    Wiki Help with Peripheral

    If anyone can take a look at this please. I am new to peripherals and am currently trying to learn how to code them so I am questioning the one's I do. Thanks for the help!!!! Intraoperatively, through a right femoral approach were able to cross all lesions involving the left SFA and popliteal...
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    Wiki Help with Peripheral

    Need help coding out this peripheral please. New to lowers. Thank's 1. Left common femoral arterial access with sheath placement 2. Right pedal access with sheath placement 3. Catheter placement abdominal aorta 4. Selective catheterization third order arterial branch leg 5. Arteriogram...
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    Wiki Medicare and coding coronary same branch modifiers

    If I remember correctly, Medicare does not pay a branch of the same vessel. For ex. stent to the mid RC and stent to the posterior descending. The patient has Medicare primary and AARP secondary. Is there a specific modifier that needs to be applied to the second stent? Thank you
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    Wiki Ekg

    Hello, I have to bill normal EKG's that are done in the hospital even if they do not get paid. Does anyone know of a ICD 10 code for a normal EKG?
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    Wiki Abdominal aortic run-off with bilateral lower extremity angiography

    Our physician did a Abdominal aortic run off with bilateral lower extremity angiography I have codes 75630 and 36200. Does anyone know if I am missing another code and modifiers? I do not code these procedures. Thanks
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    Wiki Need Carotid help please

    Hello, New to doing Carotid coding. Need help on codes please. Our physician did: Left upper extremity angiography Left common carotid angiography Left subclavian artery PTA and stent The patient was brought to the cardiac catheterization lab where he was prepped and draped in the usual...
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    Wiki Carotid Help PLEASE!!!

    Hello, New to doing Carotid coding. Need help on codes please. Our physician did: Left upper extremity angiography Left common carotid angiography Left subclavian artery PTA and stent The patient was brought to the cardiac catheterization lab where he was prepped and draped in the usual...
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    Wiki Cath with Peripheral

    I have a patient that went in for RHC regarding aortic stenosis. It was a right common fem approach but unable to get through the common iliac due to heavy calcification and a balloon angioplasty was done. After the cath, the Dr. did a abdominal angiograph with runoff and found the patient had...
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    Wiki Coding Cardiothoracic help

    Need help coding Cardiothoracic. New to this area!!! I code caths, EP, etc... but will be soon coding Cardiothoracic. Can anyone please direct me to obtaining some information on coding this area of cardiac please. Any help would be appreciated!!!! Thank You
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    Wiki Help with hysterectomy

    I am in need of some help finding a code for a hysterectomy (vaginal) with a anteroposterior colporrhaphy. I am not sure if this is one or two codes and if so, is there a modifer? Thank You
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    Wiki Defiibrillator revision help

    I have a patient that the physician did a gen change for ERI and also a lead revision. I coded 33249 33241-59 33244-59 Can anyone tell me if this would be the correct coding please. I appreciate it. Thanks for looking.
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    Wiki Coding a MI

    I am in need of help with coding MI's. I know that you would code a 92941 for a acute STEMI, however what is the code for a NON-STEMI? I dont know if it is also a 92941 or is it a 92928? If anyone could clear this up for me, I would appreciate it. I tried to find the information out but could...
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    Wiki Hospital Cardiac Procedures

    Hello, I just put a request for help for EP procedures. Would anyone as well have a list for Cardiac Hospital Procedures (Gen change, Insert, Loop, Tilt, TEE, CV, Heart Caths). I do the coding for these and we no longer have our individual that handled all of this. Just requesting a list of...
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    Wiki EP Ablation Help!!!!!

    Hello, I code for EP Ablation. I am desperate if anyone could please send me a list of insurances that require precerts or referrals for these procedures. I would greatly appreciate it!!! Thank You
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    Wiki Nuclear Stress Testing

    Does anyone know where I can locate the payable ICD-10 codes (LCD) for Nuclear Stress Testing? 78452 A9502 93015 j2785 Thank You
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