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    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...
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    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
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    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...
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    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
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    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
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    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...
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    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...
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    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
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    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...
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    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...
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    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...
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    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...
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    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...
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    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...
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    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...
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    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...
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    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...
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    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...
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    Wiki Removal/replacement of a partial fem/pop bypass graft

    Hello. I need some help in coding a partial removal/replacement of femoral to below-knee popliteal bypass graft with cryovein. The codes I have so far are 35903 & 35883 but it doesn't quite describe the work that was done. Also will code for wound vac. Your help is greatly appreciated...
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    Wiki Valve embolization

    I have a cardiologist who is planning to do a valve emobolization, either aortic or mitral valve. Has anyone heard of this procedure and is there a code for it? I have done a "google' search with littel results. I do not have a report as the procedure is scheduled to be done in a few days...
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    Wiki Coding for EndoAncho

    Hello. I need some assistance coding for Aptus Heli-Fx EndoAnchor System. Has anyone billed for this procedure? I "googled" this procedure but came up empty with a CPT code. I appreciate your feedback,Thx!! Dolores Next, left common femoral artery was punctured with arthrotomy needle...
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    Wiki TAVR denials

    Hello. I've been receiving alot of denials from Medicare on our TAVR procedures: 33361-33366 for missing modifier Q0 and trial registry number. This is an easy fix; however, also receiving denials on these codes for the assistant surgeon. Has anyone else been getting denials for the...
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    Wiki Receiving denials on 786.50

    Noridian has recently denied payment on some of our E/M codes that are billed with dx 786.50 or 414.9; invalid codes Has anyone else been having this problem? Thank you!
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    Wiki EP expert

    Helllo. I need a second opinion on some EP reports I am coding. Any expert EP coders out there who like a challange? If so, please contact me. Thank you! Deeva456
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    Wiki Telephonic remote analysis 93293

    I know 93293 is payable every 90 days. Has anyone billed this code more frequently and has recieved payment? I have explained to our doctors many times, we cannot recieve payment if 93293 is billed within the 90 day time period but they insist I research this more. I have to present this...
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    Wiki Need help coding procedure.

    Hello, I need some assistance coding a vascular surgery. The CPT code I found that describes the procedure is 36819 but the physician did not do the arteriovenous anastomosis. here is the report. I appreciate any advice, comments. Thank you! Dolores CPC - CCC INDICATION: The patient...
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    Wiki Need expert opinion on venogram

    My new EP doc would like to bill for axillary vein venogram during an ICD implantation. Can this be separately billed? Here is part of the report. Are there rules or polices that if a lesion or stenosis is found, does it have to be treated or addressed? Your help is appreciated. Thank...
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    Wiki need help with coding graft placement

    Hi, learning vascular surgery and I'm not quite sure which bypass graft code to use. So far I have coded 36005, 75820-26 & 75825-26. Am I missing anything else, beside the graft codes? Thank you! BRIEF SUMMARY: The patient was taken to the operative suite, received a general anesthetic...
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    Wiki Need help with cysto codes

    Hi, I'm new to coding for urology. Dr is billing 52214 & 52234; however he did not do all components of 52214 so he cannot bill for it. He did perform a biopsy of the bladder. My question is.... does 52234 include a biopsy? Thank you! Dolores
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    Wiki doppler flow wire

    Hello, I need help with coding "doppler flow wire" in the femoral artery. I have been looking and just cannot find a code for this. I appreciate the help!! ACCESS SITE: Left femoral artery. #4 French sheath placed using the Seldinger technique following local lidocaine anesthesia...
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    Wiki 93293

    Hello, I think this subject came up before but I could not find the link.... Due to the age of the pacemaker generator, some are nearing "end of life" We are doing transtelephonic pacemaker evaluations every 30 days. We are receiving some denials because the analysis is performed more...
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    Wiki need help with dx code.

    Hello, I am new to Pediatrics and need a little help with a dx code. Medi-cal (Calif Medicaid) is denying 99391 when we bill with dx code V20.32. Is there another dx code we can use to bill preventive care? Thanks, Dolores
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    Wiki Ankle-brachial index

    Has anyone billed for an ankle-brachial index or ABI CPT 93922 and have you been paid? I appreciate your feedback. thanks, Dolores, CPC-CCC
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    Wiki need help with dx

    Is there a dx code to for "painful sternal wire"? thanks!
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    Wiki documentation for stress test supervision

    Hello, Does anyone know if there is a Medicare policy regarding documentation for supervising a treadmill (93016) other than what is written in the LCD? Thank you! Dolores, CPC, CCC
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