Search results

  1. D

    Wiki skin graft and unna boot

    Do you know if you can bill a skin graft 15271 and unna boot 29580 together? We occasionally apply a skin graft with the Unna boot in our vascular wound clinic but vascular surgery does not have a coding forum so I thought I would start here. Appreciate any information you can provide Thank...
  2. D

    Wiki cpt 92941

    Hello Bill 92941 for an acute STEMI or NSTEMI only, usually an urgent cardiac angio, PCI is needed. should not code 92941 if the procedure is done the following day or 2 days. if a diagnostic heart coronary angiogram is done the with the PCI, 92941 is the primary code. It appears you are...
  3. D

    Wiki Left subclavian ostial stent angiogram/PTA

    Hello I read the report and the correct code for the heart cath is 93459-26. The aortic valve was crossed, and measurements were taken. LIMA/LAD, SVG/OM arteries/grafts were imaged. Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s)...
  4. D

    Wiki tPA thrombolysis ?????????

    Hello I read the report and agree with the codes except 37211 Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day. this isnt the code for spider filter but tPA...
  5. D

    Wiki Pediatric Cardiology

    Hello It depends if the pediatric cardiologist will be doing surgery or general cardiac care. Our physician does not perform surgeries but performs echocardiograms, holter and event monitors, other diagnostic tests and will refer his patients to a pediatric surgeon when needed. CCC is...
  6. D

    Wiki Billing pacemakers/ICD's/physiology monitors

    You are correct, cannot bill prior to 90 or 30 days. We schedule the interrogations on the 31st or 91st day. there are global surgery calculators available online to assist in determining if the DOS is within 90 days. Unfortunately, not every Medicare administrator has a calculator available...
  7. D

    Wiki Myocardial viability PET scan and glucose monitoring test

    We have a physician who wants to bill for a myocardial viability PET study with the patient being given GlucoCrush for glucose load during the study. I hope this is correct. Any idea how to bill for this? Thank you for your consideration. Dolores
  8. D

    Wiki Holter Monitor/MCOT

    Hello Cyndi Bill the holter/event monitors with the date of the interpretation not the date it was placed. There is nothing to review and interpret until the patient wears the monitor and is recording for whatever amount of days/time the physician has recommended. Code selection is based on...
  9. D

    Wiki Billing pacemakers/ICD's/physiology monitors

    The interrogations must be done every 91 or 31 days, no exceptions. if these are remote interrogations, the patient availability is not relevant. Our cardiologists have been performing and billing for remote interrogations for several years and if the interrogation is done within the 90 or 30...
  10. D

    Wiki -82

    I have a couple of vascular surgeons who have billed a couple of procedures with modifier 82. Do you have any reference materials that explains how to use or bill modifier 82? I have to present this info next month. Appreciate any help you can provide. Thank you!
  11. D

    Wiki To bill a hemiarch graft or not to bill?

    I need a second opinion for this case. Would you bill both 33858 & 33866? 33858 - Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection 33866 - aortic hemiarch graft including isolation and control of the arch vessels, beveled...
  12. D

    Wiki Help with 37224

    Modifier 50 is billable with 37224.
  13. D

    Wiki CPT books

    What do you do with your CPT books that are not being used? I have 2019,2020 books and no room to store them. I also have Dr. Z's coding reference books from 2020, 2021 and I think 2019. Do you recycle them or give to a thrift store? Thank you Dolores
  14. D

    Wiki EKG help

    Who is your Medicare carrier and do they have a LCD for ekg's? The LCD usually will provide information that is needed for EKG's. Also, there is a CMS MLN booklet available. I recommend searching your Medicare carriers website, it may have information on signatures. Coverage Indications...
  15. D

    Wiki Who outsources their credentialing?

    Hello I just saw your post. I did credentialing for 15 years, we had 20 cardiologists and five office locations. When I started doing credentialing, I didn't know much but over time I became an expert at it. it was 1993 and the internet wasnt available at the time or was just started to...
  16. D

    Wiki Need help - TTE with Bubble study - CPT code

    Hello There isnt a separate code for a TTE with a bubble study. Office 93306, do not report administration of the agitated saline solution separately. Hospital TTE bubble study, bill 93306-26 if a complete echo was performed. The hospital will bill for the supply of the saline solution...
  17. D

    Wiki Is and EKG from Kardia or app billable?

    Has anyone billed for EKG readings from the Kardia mobile devices or ekg apps? And, have you received payment? Thank you for any information you have. Dolores
  18. D

    Wiki Semi- temporary pacemaker

    Thank you for the information. I also sent this question to Dr. Z's publishing and here is their response. My EP physician does a semi-permanent pacemaker implant. He says he was told to bill 33216, but the lead is attached to an external generator. Wouldn't this be 33210 (temporary...
  19. D

    Wiki Semi- temporary pacemaker

    How would you code this? I coded it as 33210 but the EP physician is asking to bill with 33216. The electrophysiologist "was told" by other EP physicians to bill with 33216. However the lead was connected to an external PM generator. The patient will be wearing this for more than 2 weeks...
  20. D

    Wiki Denial on 37246 and 36252

    Hi I think the denials were caused by not adding the appropriate modifiers and not the diagnosis. Without reading the report but based on the info you provided, the coding is: 37236 - Lt - stent 37246 - Rt 59 balloon angioplasty, rt renal 36252 - bilateral renal angio balloon angioplasty in...
  21. D

    Wiki need a 2nd opinion for a parallel graft

    Hi I need a 2nd opinion on a case I am unfamiliar with. The physician did a parallel graft in the popliteal artery. I came up with 35152 and possibly adding modifier 22. Is there another code we should bill for? I appreciate any feedback. Thank you PROCEDURE PERFORMED: Repair of left...
  22. D

    Wiki Assess LV function / Evaluate EF - Diagnosis code for TTE

    Did the patient present with symptoms that would qualify for a patient to have an echocardiogram? if the findings are normal or the physician did not provide a diagnosis, bill the symptoms. HTH Dolores
  23. D

    Wiki CCVTC Exam

    Thank you for your response. A few years ago I took the GI certification exam and found the medical dictionary useful. I didn't pass the first time as I didn't study enough on the diagnosis' The 2nd time, didn't take the dictionary and wish I did. Did better with the dx though.
  24. D

    Wiki CCVTC Exam

    I am studying to take the CCVTC exam in December. I have the required books, CPT, ICD10 and HCPC. We are allowed an additional resource, any suggestions on additional resources? Thank you
  25. D

    Wiki DFR coding

    I have a cardiologist billing for a DFR but I cannot find any info on how to bill for this. Boston Scientific provides C1769 but this is for facility billing only. Any body performing and billing for the DFR? DFR - Boston Scientific...
  26. D

    Wiki pacemaker analysis - non functioning leads

    What is the physician doing with the leads? removing or just assessing the leads? Will need the full report to answer your question. Dee
  27. D

    Wiki Anyone billing for upper extremity vein harvest?

    One of my vascular surgeons billed the following codes: 35566 - bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels 35500 - Harvest of upper extremity vein, 1 segment, for lower extremity or coronary artery bypass procedure (List...
  28. D

    Wiki G2066

    G2066 most payers accept this code and is not a Medicare only code. G2066 replaces 93299, which was deleted as of 01/01/2020 HTH
  29. D

    Wiki Unlisted procedure. Please help, need a 2nd opinion for CV surgery

    I So far I have come up with 32100-52 but not sure about the rest. Use an unlisted code? Thank you PRE-PROCEDURE DIAGNOSIS: Long-standing persistent atrial fibrillation, at risk of embolic stoke Gastrointestinal bleeding Inability to take anticoagulation medication NYHA Functional Class...
  30. D

    Wiki Saphenous vein harvest performed by Physician assistant during CABG

    33508 is for endoscopic vein harvest. In order to bill this code, the physician should state an endoscope was used to harvest the vein. Endoscopy, surgical, including video-assisted harvest of vein(s) for coronary artery bypass procedure (List separately in addition to code for primary procedure)
  31. D

    Wiki LE revascularization coding

    Thank you Jim. I agree with billing each line separately. If a modifier is not added to the second 37232, our claim scrubber will pick it up as a duplicate. Modifier 76 is added and as far as I know, we haven't received any denials.
  32. D

    Wiki LE revascularization coding

    I am curious to know how everyone is billing Lower Extremity angioplasty when performed in the AT, PT and peroneal arteries. I am not attaching a report as this is for general knowledge as I have seen it billed two different ways. E.G. Percutaneous angioplasty performed in 3 arteries; AT...
  33. D

    Wiki ILIAC ATHERECTOMY CODE

    Hello To report an Iliac atherectomy, bill 0238T with other iliac intervention codes, 37220-37223.
  34. D

    Wiki EVAR

    Based on this report you may only code for the aorto-uniliac stent graft and 34713x 1. Bilateral cutdown is not supported in the report and only one 12 French sheath was placed in the left femoral. Best to ask the physician, how were the arteries accessed? Cutdown or percutaneously...
  35. D

    Wiki Cardiomems monitoring

    Hello, for the Cardiomems monitoring, it does require weekly downloads of the pressure recordings, however you bill 93464 once every 30 days. I pulled this from Encoder Pro Remote monitoring of a wireless pulmonary artery pressure sensor for up to 30 days, including at least weekly downloads...
  36. D

    Wiki LE shockwave balloon lithotripsy

    Hello One of my physicians performed an intravascular lithotripsy in the common iliac artery using the Shockwave Balloon. Has any one billed for this? I have researched and have found nothing so I am assuming it will be an unlisted CPT code. I thought I would just throw this out there in...
  37. D

    Wiki Denial for 93571

    93571 requires modifier 26 when performed by a physician in a hospital cath lab. Check your Medicare fee schedule and it should show what modifiers are allowed. Dolores
  38. D

    Wiki Denail 92978

    Hello based on the codes you provided, here are the codes. 92978 requires modifier 26 93458-26 92978-26 LM IVUS/OCT initial vessel 92979- 26 LD IVUS/OCT additional vessel Hope this helps! Dolores
  39. D

    Wiki Positive Feccal Occult test and pre-screening visit

    A patient has a positive fecal occult blood test (FOBT) and is referred to GI for a colonoscopy. Can the GI physician bill for a pre-screening visit? In many cases the only symptom may be a positive FOBT. This question has come up several times in the past few weeks and am having trouble...
  40. D

    Wiki Colonoscopy Consults

    Hi, Unfortunately, your physician cannot bill a separate E/M visit. Pt is asymptomatic and there are no chronic conditions and the physician is not addressing any other problems. I don't know if you have this or not but its a quick and useful resource that answers a lot of GI questions...
  41. D

    Wiki TEVAR and "snorkel" or stents in visceral arteries

    I need some help in coding a TEVAR snorkel procedure. Physician is billing for 33881 and placed a bilateral renal stent and a stent in the SMA 37236-50 and 37237. Can he also bill for catheter placement in the bilateral renal arteries and SMA with 36245-50 and 36245-59? I think he can but...
  42. D

    Wiki Overstitch procedure

    Hello. I have a couple of physicians who want to start performing and billing for Outlet reduction using endoscopic Overstitch suturing . I know it is an unlisted code 43659 but I have not found any reimbursement information. Has anyone billed for this and what is the comparable code? I...
  43. D

    Wiki Coding PM upgrade to ICD w/ LV lead

    I need a 2nd opinion on how to code upgrading a pacemaker to ICD generator with an LV lead. The physician billed for removal of the pacemaker generator, RV lead and LV lead insertion. The codes he selected are: 33233, 33216 and 33224. The codes I selected are: 33233 - PM generator removal...
  44. D

    Wiki Global Period for Pacemaker

    Check the Medicare fee schedule, it will give the global period for the CPT code. Hope this helps. Dolores
  45. D

    Wiki 36245, 36246, 36247

    index L in the CPT book will show you which artery is 1st, 2nd,3rd order
  46. D

    Wiki EP Ablation Help!!!!!

    Referrals or authorizations is based on the patient's plan, PPO, EPO or HMO. Since coverage varies from state-to-state, this info can be found on the insurance payer websites, usually under their benefits section. I know its time consuming to research but this is the best way to verify what...
  47. D

    Wiki Can Anybody Suggest CPT code for Watchman DEvice

    If you do a "google" search for Watchman Device reimbursement you should find info from Boston Scientific. Good Luck!
  48. D

    Wiki Assistance Please!

    Wouldn't you also code for the renal artery cath placement, 36245? PCI: We selected a 6-French JL4 guiding catheter. The patient was bolused with Angiomax and a drip was begun. We used an 0.014 wire to cross the lesion. The lesion was dilated with a 2 x 20 Emerge. We then stented the...
  49. D

    Wiki Removing and replacing PM generator and new pocket

    The pocket is not being revised but the physician is creating a new pocket for the new generator. thanks for your input! Dolores
  50. D

    Wiki Removing and replacing PM generator and new pocket

    Hello. I need a second opinion on a coding scenario. When the physician removes and replaces a PM generator but the new generator is placed in a new pocket, can you also bill for pocket relocation? There are no CCI edit conflicts for this code combination. 33227 Removal of permanent...
Top