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    Wiki Right above the knee amputation revision with sinus tract excision

    Right above the knee amputation revision with sinus tract excision including skin ellipse (6cm x 2cm) Pt developed a skin opening in the right above knee amputation stump. Sinus tract has previously healed but appears to be recurring. The sinus tract opening was inspected and spread open. No...
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    Wiki Iliac Artery to Profunda artery bypass

    MD did a Iliac Artery to Profunda artery bypass by harvesting ipilateral superficial femoral artery. I can't find a code for LE artery harvest. Does anyone know how to code this?
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    Wiki Bilateral Common iliac and IVC AFX Endologix endograft

    I've only every seen Endograft with iliac limbs done in the Aorta and common iliac arteries. What code set do we use when this in the in the IVC and iliac veins?? Dx is thrombosis and stenosis. Procedure: 1.Percutaneous mechanical thrombectomy (14 x 100 Abre stent) 2.Right common iliac vein...
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    Wiki Below Knee Amputation and myocutaneous flap closure

    Is a Myocutaneous flap closure (15738) separately billable when down with a BKA?
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    Wiki Forearm blood vessel repair

    If both the radial and ulnar arteries are repaired is 35206 coded twice or just once? Same incision. Pt also had embolectomy of ulnar artery. Thanks for your help!
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    Wiki Lower Extremity Cath Placement and Revascularization

    Dr. Z question ID # 4035 Question: If the right CFA is accessed , cath goes up and over the left SFA and images, then pull back to the right iliac and fix- do I get to code my 3rd order cath placement for left SFA via RCFA?+ Answer: Yes, you can report 36247-59. This was answered in 2012...
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    Wiki In-Suite Cath labs and heparin

    For in-office lower extremity cases, MD uses Versed, Fentanyl and heparin. Is the heparin billable?
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    Wiki Wound care and debridement

    I'm confused over 110042-110047 vs 97597-98. When do know to use 97597 over 11043 for example. Wound vac and and pulse lavage were used, also Thanks, Robbin
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    Wiki Can 75774 be coded here?

    Catheter placed in right common femoral and imaged saved. Angiography performed which confirmed placement in the CF. A catheter was directed into the aorta to the level of the renal arteries, and an angiography of the aorta was performed. The catheter was manipulated down to the level of the...
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    Wiki Stent graft for RCA for coronary aneurysm.

    I'm trying to get to the right codes for stent graft placement in RCA for coronary aneurysm. I know it's not the usual stent codes 92928 etc....but can't remember/find which ones to use.
  11. R

    Wiki Stent graft RCA for aneurysm

    I'm trying to get to the right codes for stent graft placement in RCA for coronary aneurysm. I know it's not the usual stent codes 92928 etc....but can't remember/find which ones to use.
  12. R

    Wiki Shock Wave lithotripsy for Lower Extremity

    Does anyone know how to code this new procedure? Thanks!
  13. R

    Wiki Brachial artery cutdown during angiography

    Pt had a brachial artery cutdown for a abdominal and right leg angiography. Catheter went to the Right Common femoral and intervention could not be done due to a long enough catheter not being available. Is this cutdown separately report and if so with what codes? Been looking into this for a...
  14. R

    Wiki Toe Debridement and Amputation

    The right foot wound on the planter aspect of the distal 4th and 5th metatarsal was excisionally, sharply debrided to remove all non-viable dermis, tissue, muscle, tendon, bone using a scalpel, scissors and forceps. An oscillating bone saw was used to remove the distal metatarsal head and shaft...
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    Wiki Renal angioplasty

    Pt had a left renal artery stenosis. Catheter selected and engaged in the left renal artery (first-order). Then patient has angioplasty of renal artery. Is this coded as 37246 36251 ??
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    Wiki Central SVC angioplsty thru sheath in Internal Jugular in (HD cath)

    Pt has a HD catheter in right internal jugular vein: The area of the tunneled catheter skin exit site was infiltrated with local anesthetic. Under fluoroscopic guidance as stiff angled Glidewire was place into each catheter lumen and positioned into the IVC. The old catheter was removed. A 10...
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    Wiki EVAR with renal stent

    Pt had a typical Aortic-bi-iliac Endograft placed (34705) then angiogram showed Type 1 endoleak. Then 6 EndoAnchors were deployed ( 34712). Repeat angio still showed Type I endoleak. At this point, he marked the renal artery and deployed a 34x34x52 cuff creating them 2 to 3 mm above the prior...
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    Wiki Help with Toe amputation an Flap closure

    Procedure: Left Hallux partial amputation Myocutaneous flap closure of left hallux amputation site Elliptical incision around the distal end of the hallux where the initial dorsal injection went across the top of the 5th toe transversely just proximal to the nail plate. Then the incision...
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    Wiki Revision AVF aneurysms and artegraft placement

    Pt has a bleeding AVF aneurysms. They go in for a revision of AVF( resection aneurysms, and Artegraft placement) Is this all covered under the revision code or can the AVG placement be additionally coded? "The AVF was dissected an sharp scissors were used to resect the aneurysmal portion and...
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    Wiki Open Thrombectomy--2 times one session

    Pt has a open thrombectomy of Popliteal, AT and PT. Pretty normal procedure. Surgery complete and patient is closed. Before they leave the room, it is noticed the signal is completely gone. Pt had to be reintubated, re-prepped, re-opened and the same procedure repeated. Again Thrombectomy of...
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    Wiki AVG Help- What all can I code here?

    1. US guided puncture of right upper extremity AVG 2. US guided puncture additional site of right upper extremity AVG 3. Fistulogram with mechanical thrombectomy balloon angioplasty 4. Selective catheterization first order vessel brachiocephalic trunk 5. Balloon angioplasty of brachiel artery...
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    Wiki Axillary to femoral bypass and thrombectomy of PT artery

    Pt gets a typical Axillary to femoral bypass with PTFE and then after the bypass was placed there was no pulse in the left posterior tibial artery. Open approach and fogarty embolectoomy catheter was passed in the PT artery and the clot was removed How is the PT thrombectomy reported? 37184...
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    Wiki I & O when leveling E/M

    Can I & O be counted as GU under exam or how is it counted? Thanks!
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    Wiki How should I code TIA, memory impairment

    DX is written as "Transient memory impairment, atriuted to TIA. Hx of CVA in the past. Right small frontal lob infarct, may be chronic in nature seen on brain MRI. "
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    Wiki AVG Thrombectomy

    1. Mechanical Thrombectomy and balloon angioplasty of the AV graft circuit 2. Balloon angioplasty of Internal Jugular Vein 3. Balloon angioplasty of brachial artery 4. Catheter placement first order vessel brachiocephalic trunk 5. Left upper extremity angiogram Clotted AVG left brachial artery...
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    Wiki 93986-NEW CODE--- but limited study

    Does anyone have any info an billing this code for evaluation of atrial inflow and venous outflow for pre-op vessel assessment prior to creation of hemodialysis access Definition is for a "complete" study, but my doc is doing a "limited" study. Can I just bill with a mod 52? 93986...
  27. R

    Wiki Temp Hemodialysis catheter help

    1. Placement of 13cm temporary hemodialysis catheter for acute kidney injury Under US guidance, the right internal jugular vein was cannulated followed by a wire. A small incision was made. The tract was dilated and 13cm catheter was placed. Both ports aspirated and flushed easily and were...
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    Wiki Central Cath Help needed please

    36558 vs 36561 vs 36566 ?? Under ultrasound guidance, the right internal jugular vein was cannulated with a micropuncture needle, followed by wire and a microsheath. I then inserted the wire. A small incision was made in the neck and a conunter inciciosn as made in the chest. I then tunneled...
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    Wiki Endoleak---Endovascular repair of AAA s/p EVAR endoleak

    Can someone help with this. It's out of my wheelhouse. Thanks! Operation 1. Bilateral open femoral artery exposure. 2. Endovascular aneurysm repair with placement of aortic-uni-iliac endogradt, non rupture. 3. Right common iliac artery embolization 4. Left to right femoral to femoral bypass...
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    Wiki Can someone help code this Thromboendarterectomy>

    DX: Critical limb ischemia of left upper extremity Operation Performed: 1. Left upper extremity brachial artery cutdown with incision, thromboembolectomy of brachial artery. 2. Thromboembolectomy of the axial artery. 3.Tthromboembolectomy o the ulnar artery in the upper left extremity...
  31. R

    Wiki Lower extremity interventioin of native and bypass

    If atherectomy is done in the native SFA then also in the Femoral-distal bypass, can the bypass atherectomy be coded same leg? Thanks!
  32. R

    Wiki New Venoplasty codes 37248-37249

    Can we still report Radiological supervision and interpretation and cath placement codes? Thanks!!
  33. R

    Wiki Help Please! Groin Incision Infection

    Diagnosis: Left Lower Extremity groin Incision Infection Operations Performed: 1. Exploration of left lower extremity medial aspect wound. 2. Ablation of lymphatics 3. Tissue for biopsy. Deep tissue biopsy specimen sent. 4.Application of negative pressure wound VAC therapy. Procedure: Left...
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    Wiki Lower Extremity Angiography..please check

    I'm not sure if I have been coding these correctly. Will someone please tell me how you would code this. Thank you!!! A 5-French sheath was inserted into the left common femoral artery. Left lower extremity angiogram was then performed using digital subtraction followed by bolus chase. Findings...
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    Wiki Help coding Please fem fem Bypass Please.

    35302 35661 ?? Operation: 1. Left to right Femoral Femoral Bypass with 6 mm ringed Propaten Graft 2. Right Common femoral extended endarterectomy 3. Fogarty embolectomy right SFA 4. Left Common Femoral to Superficial Femoral bypass with 6mm ringed Propaten Graft 5. Left Profundaplasty 6...
  36. R

    Wiki AV Fistula Creation

    Can someone tell me the difference between when to code 36821 and a transposition procedure 36818-36820? How will be dictation be different? Thank you,
  37. R

    Wiki Venography

    If a Venography is performed in let's say Pop, Fem and Iliac, are all three injections covered under the code 75820? Just bill this code once along with the catheter placement? Thanks for your help!
  38. R

    Wiki Endarterectomy with stent removal

    MD performed an endarterectomy was in the AT and also a stent was removed from the AT. Is this stent removal coded? Thank you, Michelle
  39. R

    Wiki Flu vaccine for Mcare

    Can someone tell me the correct codes for Mcare for billing flu vaccine. I have a client that turned in 90658 but this doesn't appear to be correct. Thank you
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    Wiki Anyone biling for In-Office Endovascular Lab?

    Can you additional bill for catheters and supplies or are these included in the reimbursement for the main procedure since the reimbursement is quiet higher for the office location? Thank you!
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    Wiki 96101 with 99309 ?

    Can you bill a 96101-Psychological testing with a 99309-Subsequent nursing facility care together same day? Thank you!
  42. R

    Wiki CPT 27892 Decompression fasciotomy, leg; anterior and/or lateral compartments only,

    I have a doctor that performed: 1) RT lateral thigh Fasciotomy 2) RT lateral calf Fasciotomy Is CPT 27892 billed once or twice in this situation? I do not have the report. Thank you!
  43. R

    Wiki Hep B vaccine CPT 90746

    CPT code description fo 90746: Hepatitis B vaccine, adult dosage (3 dose schedule) for IM use. Does this get report once for all 3 doses.....or just the 1 time total?
  44. R

    Wiki Cataract surgery and anesthesia

    Can the same physician charge for 66983 (cataract extraction) and also 00142 (anesthesia)?
  45. R

    Wiki Venoplasty Guidlines needed

    Does anyone have any Venoplasty guidelines they could forward me? Is it just one Venoplasty coded per zone? I have a Venoplasty of Iliac, SFA, POP and PT. Can these all be billed separate or included in the one code of 35476? Thanks!
  46. R

    Wiki MUE of 1 but a bililateral procedure

    If Medicare has a MUE of 1 but the CPT can be billed bilaterally, can you bill this with a 50 modifier and get paid for both sides?
  47. R

    Wiki Medicare and CPT 64561

    Medicare is denying the 2nd 64561 when billed like this? 64561-LT 64561-RT Do I need to add a modifier XS to the 2nd line item? Send reports? The MUE is 1 for this CPT. Any feedback would be appreciated. Thank you!
    • Robbin109
    • Thread
    • 2nd 64561 cpt medicare mue
    • Replies: 5
    • Forum: Urology
  48. R

    Wiki Guide Book

    Can someone please recommend a good General Surgery Guidebook for coding? Thank you!
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    Wiki California and Medi-cal 93000

    I have been getting recent (last 3-4 months) denials from medi-cal for EKGs 93000 stating a modifier is needed but not present. Does anyone have any idea what this is about? Usually just OV and EKG billed. OV paid and EKG denied for modifier. ~Thanks~
  50. R

    Wiki Need help with Lower Ext case..please!

    DX: IVC stenosis with bilateral lower extremity critical limb ischemia Procedure: 1. Intravascular ultrasound, evaluation post venoplasty of the inferior vena cava. 2. Intravascular ultrasound, assessment and interpretation of the external iliac vein 3.Intravascular ultrasound, assessment and...
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