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    Wiki Cystoscopy and removal of foreign body

    PREOPERATIVE DIAGNOSIS: 1. Foreign body in bladder 2. Bladder outlet obstruction POSTOPERATIVE DIAGNOSIS: Same PROCEDURE: 1. Cystoscopy and removal of foreign body 2. Transurethral resection of bladder neck COMPLICATIONS: Small perforation of bladder FINDINGS: Digital examination...
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    Wiki CPT dilemma

    Upper EUS Indications: Dysphagia, For Botulinum (Botox) injection, Abnormal manometry-GEJ outflow obstruction Impression: - Z-line irregular, at the gastroesophageal junction. Biopsied. -...
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    Wiki balloon angioplasty with pelvic venography

    PREOPERATIVE DIAGNOSIS: Left back/pelvic pain POSTOPERATIVE DIAGNOSIS: Severe left common iliac compression. Significant left gonadal vein reflux. PROCEDURE NAME: Ultrasound fluoroscopy guided right common femoral vein access, and left great saphenous...
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    Wiki kissing angioplasty

    Hi Jim, I agree with you, however I was perplexed about the Kissing balloon angioplasty. Thank you for clarification.
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    Wiki kissing angioplasty

    I am perplexed how to code the kissing angioplasty procedure. I code for facility and I will be using C9600 code instead 92928. how can I capture this procedure? I would code; 93458-59 C9600-LD 92978-LD 93571-RC question is; do I even code the kissing angioplasty or not, if so how 92920,92921...
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    Wiki kissing angioplasty

    Marek, Agnieszka 8:28 AM (0 minutes ago) to me I am perplexed how to code the kissing angioplasty procedure. I code for facility and I will be using C9600 code instead 92928. how can I capture this procedure? I would code; 93458-59 C9600-LD 92978-LD 93571-RC question is...
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    Wiki AV fistula intervention

    so should be just 36905, 36215 ?
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    Wiki AV fistula intervention

    36905,36907??? PROCEDURE NAME: Pharmacal mechanical thrombectomy thrombolysis of the right arm brachiocephalic fistula/fistula declot. PREOPERATIVE DIAGNOSIS: Clotted fistula. POSTOPERATIVE DIAGNOSIS: Clotted fistula likely due to severe juxta anastomotic...
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    Wiki Complex venous angioplasty and stent placement

    Yes it was. There were three separate punctures performed.
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    Wiki Complex venous angioplasty and stent placement

    EXAM: 1. Left lower extremity and pelvic venogram 2. Venous balloon angioplasty 3. Venous stenting HISTORY: Left leg DVT with post thrombotic pain and swelling Intravenous conscious sedation was administered by a dedicated independent observer with continuous...
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    Wiki pre-sirt mapping angiography-- more detailed this time

    Thank you so much !!
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    Wiki central venogram w balloon angioplasty of SVC

    Hi Jim, thank you for your answer- that's exactly what I coded :)
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    Wiki Aortogram w/run-off

    hello, I am studying currently for the CIRCC exam( my first attend- no pass, but I wasn't prepared enough) I do have the Zhealth bible and its is very helpful, however i also have miloon questions. I am disappointed that AAPC doesn't carry the clases for this program, because this is the most...
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    Wiki pre-sirt mapping angiography-- more detailed this time

    Doctor is going everywhere within Celiac arterial family. I feel lost how may 36248 codes i should use.. please help PRE-SIRT, mapping procedure PROCEDURE: * Selective angiography of the celiac arteries. * Superselective angiography of the common hepatic artery. *...
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    Wiki central venogram w balloon angioplasty of SVC

    I am only asking for opinion for procedure 1. I think 36010,75827, 37248 ? EXAM: 1. Central venogram with balloon angioplasty of the SVC 2. Removal of left-sided portacatheter 3. Implant of new right-sided portacatheter HISTORY: SVC syndrome Intravenous conscious...
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    Wiki Stenting of right external iliac artery with self-expanding bare-metal stent PTA of right common femoral artery and right superficial femoral artery w

    Jim, Thank you once again for clarification and explanation.
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    Wiki Stenting of right external iliac artery with self-expanding bare-metal stent PTA of right common femoral artery and right superficial femoral artery w

    Jim, Thank you for your reply and reassuring me in my way of thinking. I am attaching reference guidelines from our coding software. take a look on these 3 exceptions when you actually report catheterization. I was a little bit confused if the Exception 2 may be applied. I red this Op report...
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    Wiki Stenting of right external iliac artery with self-expanding bare-metal stent PTA of right common femoral artery and right superficial femoral artery w

    I think 37221,37224,75716 my question is if we code cath placement for angiography in this case. I know it's bundled with few exceptions, it was Lt femoral access with bilateral angio and intervention at contralateral side. That's why i am questioning if 36246 should be added. Thank you in...
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    Wiki pelvic and bilateral extremity angiogram.

    Thank you very very much for your answers ! Agnieszka
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    Wiki pelvic and bilateral extremity angiogram.

    Thank you very much for your answers, sorry I do it so late.. Agnieszka
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    Wiki pelvic and bilateral extremity angiogram.

    PREOPERATIVE DIAGNOSIS: PAD-severe right lower extremity intermittent claudication POSTOPERATIVE DIAGNOSIS: Severe diffuse right common iliac and right external iliac artery stenosis Patent bilateral infrainguinal vessels with three-vessel runoff PROCEDURE: Pelvic angiography Bilateral...
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    Wiki Pelvic angiogram with bilateral lower extremity run-off.

    thnak you so much Thank you so much, one question only; 75716 will include pelvic angiogram ?
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    Wiki Pelvic angiogram with bilateral lower extremity run-off.

    EXAMINATION: 1. Pelvic Angiogram 2. Bilateral lower extremity run-off. 3. US and fluoroscopy guided left radial artery access. 4. Left radial artery arteriotomy closure with radial band compression device. PREOPERATIVE DIAGNOSIS: Possible AV fistula in the...
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    Wiki venography

    Thank you for your response. I need to study this more to understand it>
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    Wiki venography

    PREOPERATIVE DIAGNOSIS: Recurrent right DVT. POSTOPERATIVE DIAGNOSIS: Bilateral common iliac compression. PROCEDURE NAME: 1. Pelvic venography. TECHNIQUE/FINDINGS: The risks, benefits and alternatives of the procedure were discussed with the patient, and informed...
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    Wiki aortogram

    Thank you Jim !!!
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    Wiki aortogram

    PROCEDURE: Aortogram, bilateral leg angiogram via left brachial approach. PREOPERATIVE DIAGNOSIS: Limiting claudication right leg. POSTOPERATIVE DIAGNOSIS: Limiting claudication right leg. DESCRIPTION OF PROCEDURE: The patient was brought to Angiogram Suite and prepped and draped in the...
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    Wiki labial varices sclerotherapy -help

    thank you so much for your help. :)
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    Wiki labial varices sclerotherapy -help

    CPT code for this procedure? I feel completely clueless. Please help EXAM: Ultrasound and fluoroscopic guided sclerotherapy of peritoneal/labial varices HISTORY: Enlarged and painful varices MEDICATION: 2.5 mg Versed 75 mg fentanyl 1 g Ancef Time of...
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    Wiki Y90

    This Op report id dictated by one doctor. I code for facility so I will use 36247 and 37243 the rest for 7K codes are up to cath lab
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    Wiki PELVIC VENOGRAM

    Where can I find the comment?
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    Wiki Y90

    Another one example of Y90 embolization. Dx angiography is giving me hard time. 37243, 36246-50,36247-50? what is the segment 4 ??? Selective Y 90, segment 4. PROCEDURE: * Selective angiography of the celiac artery. * Superselective angiography of the common hepatic...
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    Wiki pre-SIR-Spheres mapping procedure

    Jim, Thank you for responding, again. I am coder for local hospital, I code AMS accounts and interventional Radiology and cardiology as well. I started doing id 2 years ago. I love it, its very interesting field of medicine and obliviously very challenging. I decided to take the challenge for...
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    Wiki pre-SIR-Spheres mapping procedure

    Thank you so much for the information. Coding is changing, good references are plus. IR - it's must !!!!
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    Wiki PELVIC VENOGRAM

    THANK YOU JIM!!!!
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    Wiki PELVIC VENOGRAM

    EXAM: Pelvic venogram HISTORY: Left leg swelling with DVT and evidence of left common iliac vein compression by left common iliac artery MEDICATIONS: 2 mg Versed 50 mg fentanyl Fluoroscopy time: 0.9 minutes Dose area product: 15 gray per centimeter squared...
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    Wiki Aortogram, left leg angiogram

    Awesome, thank you so much!!!!! you confirmed my doubts about the 75774
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    Wiki Aortogram, left leg angiogram

    PROCEDURE PERFORMED: Aortogram, left leg angiogram. PREOPERATIVE DIAGNOSIS: Limiting claudication left leg. POSTOPERATIVE DIAGNOSIS: Limiting claudication left leg. DESCRIPTION OF PROCEDURE: The patient was brought to the Angiogram Suite and prepped and draped in the usual fashion...
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    Wiki pre-SIR-Spheres mapping procedure

    Erik, I know it's been 6 months after you answered my question.. I got furloughed and I stop visiting this website as as well during my time "off". I code Cath lab procedures and this is very common. Every case is different and this in particular. Thank you for answering it!!! I was thinking...
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    Wiki Pilonidal Cyst

    Hello to my people who replied, thank you, here is the path report to the 2nd case. my biggest concern is if the second case can be coded 11772 and 14000 as i was advised to do. I am not comfortable with this codes selection that's why I asked for opinion. MICROSCOPIC DIAGNOSIS...
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    Wiki Pilonidal Cyst

    Hello fellow coders, I have two similar cases for Pilonidal cyst excision.Looking for you opinion on coding these two. I have idea what codes to use, however I was asked to code it in certain way which I am not comfortable with. I am looking for opinions to either support my way of coding of...
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    Wiki CIRCC credential

    Thank you for reply, can you contact me on my private e-mail? I have few questions for you if you don't mind :) agnieszkamarek.usa@gmail.com
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    Wiki CIRCC credential

    Are you talking about this book? my study book purchased through AAPC is ZHealth credentialing, however it is not as extensive as this one i guess.
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    Wiki CIRCC credential

    Hello, I know this is section for coding questions, however there is a lot of professional coders visiting here so i thought i will try. I am currently preparing myself for CIRCC exam. I was studying last year for CASCC credential and i succeeded. I specialize in ASC, i also code interventional...
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    Wiki pre-SIR-Spheres mapping procedure

    Asking for advice in this scenario;:) PROCEDURE: * Selective angiography of the superior mesenteric, celiac and left gastric arteries. * Superselective angiography of the right and left phrenic artery. * Superselective angiography of left hepatic artery, right hepatic...
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    Wiki Angiography of bilateral lower extremities through right femoral access?

    Hello, I struggle with this case, anyone can advise me ? I think 36247, 36248x2 for one leg, how about the other ? :unsure: PREOPERATIVE DIAGNOSIS: Bilateral lower extremity claudication. POSTOPERATIVE DIAGNOSIS: Bilateral lower extremity claudication. PROCEDURE: The patient was brought to...
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    Wiki Urolift and bladder stone removal at the same time

    PREOPERATIVE DIAGNOSIS: BPH with obstruction, bladder stones POSTOPERATIVE DIAGNOSIS: Same PROCEDURE: Cystoscopy, removal of bladder stones Prostatic urethral lift (4 implants) Moderate BPH, trabeculated bladder Few small bladder stones (4 stones, 3-4 mm each) INDICATIONS: Mr. Lester is a...
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    Wiki Vaginal hysterectomy vs total hysterectomy

    :)Consider the following chart example: The patient was taken to the OR, where her anesthetic was induced. She was then placed in the dorsal lithotomy position and underwent examination under anesthesia. She was then prepped and draped in the usual manner for vaginal and abdominal surgery. A...
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    Wiki Vaginal hysterectomy vs total hysterectomy

    In the article “Pinpoint Correct Hysterectomy Coding” (August 2018, pages 16-18), the statement, “… a laparoscopic-assisted vaginal approach — a ‘subset’ of the vaginal approach — in which a scope is inserted via small incisions in the vagina,” is incorrect, and is not the basis for coding a...
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    Wiki Vaginal hysterectomy vs total hysterectomy

    I hope this will clear your concerns . TLH (effective Jan. 1, 2008) CPT® Codes Uterine Size Tubes and/or Ovaries Removal of Cervix Approach to Removal Route of Removal 58570 ≤ 250 grams No Yes Detachment of entire uterine cervix and body via the laparoscope Tissues are...
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