Search results

  1. J

    Wiki Coil Embolization

    Thank you again for saving me. :) Happy Holidays to you and your family. 🎄
  2. J

    Wiki Coil Embolization

    Help....
  3. J

    Wiki Coil Embolization

    Jim...any thoughts would be appreciated. Many thanks:) Jane
  4. J

    Wiki Coil Embolization

    Hi, I'm looking for some advice on how to code the below referenced report. Would you code 36247, 37242 and 75710 or 75736? Any help would be appreciated. Thank you. SELECTIVE ANGIOGRAM OF THE ILIOLUMBAR BRANCH OF THE RIGHT HYPOGASTRIC ARTERY, AND AORTIC ANEURYSMAL SAC WITH 3RD ORDER...
  5. J

    Wiki Unsuccessful PTA Left Iliac

    Thank you so much for your help Jim! My savior in coding.
  6. J

    Wiki Unsuccessful PTA Left Iliac

    Still need help with this report...Jim?
  7. J

    Wiki Unsuccessful PTA Left Iliac

    Looking for some guidance on this report. Any help would be appreciated. Thank you,
  8. J

    Wiki EVAR

    Hi, Need help with an EVAR -- The codes I'm thinking of are 34705-62 and 34713-50-59. Not sure whether to use 34709 for limb extensions. Any help would be appreciated. TIA Procedure: PERCUTANEOUS ENDOVASCULAR REPAIR OF INFRARENAL AAA, WITH A 23MM BIFURCATING ALTO ENDOGRAFT, VIA RIGHT FEMORAL...
  9. J

    Wiki Unsuccessful PTA Left Iliac

    Hi, I'm looking for some advice on coding the below referenced report. So far I have come up with 75630, 26, XU, 36245, LT, 37252, LT, 37253, LT I feel as though I'm missing a code for the additional imaging of the left common femoral artery. Not sure if I can code 75774, 26 TIA INDICATION...
  10. J

    Wiki Cardiology ASC Coding for Pacemakers

    Thank you so much for your response. It's greatly appreciated.
  11. J

    Wiki Mechanical Thrombectomy of Pulmonary Arteries

    Thank you Jim, I greatly appreciate your response. :)
  12. J

    Wiki Mechanical Thrombectomy of Pulmonary Arteries

    Still looking for some guidance on this case. Any help would be appreciated. Many thanks.
  13. J

    Wiki Mechanical Thrombectomy of Pulmonary Arteries

    Hi Jim any thoughts ...
  14. J

    Wiki Mechanical Thrombectomy of Pulmonary Arteries

    Hi, I need some help with this op report. I'm thinking of CPT code 37184 but would that cover both thrombectomies. Indication for Surgery Submassive pulmonary embolism with evidence of right ventricular strain. Preoperative Diagnosis Submassive pulmonary embolism with evidence of right...
  15. J

    Wiki Cardiology ASC Coding for Pacemakers

    Hi, I'm new to Cardiology ASC coding and am not sure what gets billed by the surgery center. What does the surgery center bill and what does the physician bill for a dual chamber pacemaker. Would you code CPT 33208 and C1785 for the surgery center and for the physician just CPT code 33208 or...
  16. J

    Wiki Coding Pacemakers in an ASC Setting POS 24

    Any help in this area would be appreciated. Many thanks.
  17. J

    Wiki Coding Pacemakers in an ASC Setting POS 24

    Hi, I'm new to ASC coding and am not sure what gets billed by the surgery center. What does the surgery center bill and what does the physician bill for a dual chamber pacemaker. Would you code CPT 33208 and C7539 for the surgery center and for the physician just CPT code 33208 or just bill...
  18. J

    Wiki PCI to LAD with Complications

    Any guidance would be greatly appreciated. I'm thinking 92928-LD for the stent but not sure if I can code a coronary angiography 93454 or attempt PTCA. TIA for any help on this.
  19. J

    Wiki Carotid Angio with abdominal aortogram

    I don't see it either. I just re-read. Thank you for your response. :)
  20. J

    Wiki Carotid Angio with abdominal aortogram

    Help needed, Thinking of codes cpt 36245, 75625 and 36223-50. Any thoughts would be appreciated.
  21. J

    Wiki Carotid Angio with abdominal aortogram

    I'm just getting back into cardiology coding and need some guidance on the below procedure. I'm thinking 36223-50 but unsure whether to code the 75625. Any guidance/help would be appreciated. TIA :) TECHNIQUE: Vascular access obtained with micropuncture kit, and modified Seldinger technique...
  22. J

    Wiki LHC - Innominate artery angio and R SCA angio

    Thank you, Jim :)
  23. J

    Wiki LHC - Innominate artery angio and R SCA angio

    Looking for some guidance with regard to the below procedure. I'm leaning towards CPT code 36225 and CPT code 93458. Any help would be greatly appreciated. Thanks :) TECHNIQUE: Arterial access was obtained with ultrasound guidance, and modified Seldinger technique to the right radial...
  24. J

    Wiki PCI to LAD with Complications

    I'm looking for some guidance on how the complications would be coded. The report is as follows; PCI OF PROXIMAL LAD WITH XIENCE DES: Left main was engaged from radial approach with 6 French XB 3.5 guiding catheter, and then without significant difficulties I crossed the lesion with the 190...
  25. J

    Wiki ASC Billing

    Thank you for your response; greatly appreciate it. 🤗
  26. J

    Wiki ASC Billing

    I am working for a company that is opening a Physcian owned ASC. Is the billing for the providers done on a CMS 1500 form and since the provider owns the ASC can we bill the global code, ie 93458 or should this be billed with the 26 for the provider and TC for facility. Many thanks for any...
  27. J

    Wiki Iliac Revascularization Unilateral PTA/Stent Right and Left

    Thank you!!! I am lucky...my knight and shining armor has come to the rescue Now I have to do the 3rd appeal with the modifier 50s. Thanks again for your help, very greatly appreciated!!!
  28. J

    Wiki Iliac Revascularization Unilateral PTA/Stent Right and Left

    Still seeking lots of help Jim, I see you are on the www... ant thoughts:-)
  29. J

    Wiki Iliac Revascularization Unilateral PTA/Stent Right and Left

    Hi... Need help with getting 37221 RT and 37221 LT 59 paid and 37223 LT. According to a very famous payer only one can be paid however they didn't even pay ONE!!!!! They denied all THREE after a review stating that the number of items billed for this date of service is above standard...
  30. J

    Wiki Head-up Tilt Test/Loop Recorder Implantation

    Any thoughts? Anyone? Need help with coding 36620. We believe this cannot be coded however need confirmation or denial. Many thanks, Jane:)
  31. J

    Wiki Help!!! Attempted upgrade of dual-chamber pacemaker to atrial synchronous biv

    Thank you! Thank you:o
  32. J

    Wiki Help!!! Attempted upgrade of dual-chamber pacemaker to atrial synchronous biv

    Attempted ICD Hi, Looking, urgently, for any suggestions on how to bill.:confused: Many thanks, Jane:)
  33. J

    Wiki Help!!! Attempted upgrade of dual-chamber pacemaker to atrial synchronous biv

    Hi - Happy New Year!!!! We're having a problem with this op report as the provider would like to separate the radiology codes from the attempted biv insert. We believe the radiology codes are included. Can someone please either confirm or advise whether they are or are not included so we can...
  34. J

    Wiki Head-up Tilt Test/Loop Recorder Implantation

    Good morning! One of our EP providers would like to charge the following CPT codes for the below referenced op report: 93660, 26 36620 33282 Our coding team has a problem billing for 36620 however our Provider seems to think that we can. Any advice would be appreciated:) PROCEDURES...
  35. J

    Wiki Wachman left atrial appendage occlusion device implantation with EXTRAS

    Thank you! Thank you! That is what I thought is what I will tell him. :cool:
  36. J

    Wiki Wachman left atrial appendage occlusion device implantation with EXTRAS

    Hi, Looking for any help with this procedure. It's a watchman implantation however our Provider would like to add a little extra to it and I'm not sure if that is possible. Looking for any advice...... REASON FOR PROCEDURE: Paroxysmal atrial fibrillation, hematuria on anticoagulation...
  37. J

    Wiki Renals, Abdominal, Aortic Root, Carotid, Left Subclavian angiograms and aortagrams

    Thank you for your response Thank you for your insight and reviewing this report. :)
  38. J

    Wiki Renals, Abdominal, Aortic Root, Carotid, Left Subclavian angiograms and aortagrams

    Wow!!! Wow!!! Although it must be hard work, you must see some interesting cases; especially on the 4th!!!! :) Thanks for keeping your mind going.... if I could have an small piece of your knowledge I would be happy:):)
  39. J

    Wiki Renals, Abdominal, Aortic Root, Carotid, Left Subclavian angiograms and aortagrams

    Thank you, again! Thank you, Jim for helping me AGAIN! Hope you had a nice 4th!!!!:cool:
  40. J

    Wiki Renals, Abdominal, Aortic Root, Carotid, Left Subclavian angiograms and aortagrams

    Thank you!!!!! Thank you! I agree with your coding as well. Thanks for your help, again. Jane:)
  41. J

    Wiki Renals, Abdominal, Aortic Root, Carotid, Left Subclavian angiograms and aortagrams

    Hi, We're working on the below procedure and need some input on coding.... any help will do.......(Hi Jim,... Happy 4th of July 2018!!!)...... PROCEDURES PERFORMED: Bilateral Renal.Angiogram Aortagrarn-Abdominal Aortagram- Root/Acending Left Subcfavian Angiography Unilateral Extremity Angio...
  42. J

    Wiki Volcano Procedure

    Thank you!!!!! :oThank you for your prompt response!!!! I guess modifier 50 is better!!!! I really appreciate your response and will use it wisely:cool:
  43. J

    Wiki Volcano Procedure

    Hi!!! (Jim-long time no speak, happy New year all!!) Regarding the below procedure, we seem to be having some coding differences. This is a Volcano procedure and an insurance company is denying the 37238RT and 37238LT. We believe that these codes should be 37221RT and 37223LT. Here is the...
  44. J

    Wiki Stuck again - lhc, sel. Rt brachiocephalic & rima, sel. Lt subclavian & lima

    Hi, Stuck again. I was going to code just 93459,26 and sedation but what about the Sel. Rt Brachiocephalic angiography???? Is this included in the 93459, 26 or can this be coded? 93455,26? :confused: PROCEDURES PERFORMED: 1. Left...
  45. J

    Wiki Need Help?

    Thank you!!!!! As always! Thank you so much for your help!!! Again!!!:d
  46. J

    Wiki Need Help?

    Any ideas??? Jim my knight and shining armor! Hi, Any ideas? Once again, Jane in distress
  47. J

    Wiki Need Help?

    Hi, I'm not sure how to code this. Please see below, thanks. PROCEDURE PERFORMED: 1. Left heart cardiac catheterization. 2. Selective coronary artery angiography. 3. Left ventriculography. 4. Right heart cardiac catheterization. 5. Selective bilateral renal artery angiography. 6. Selective...
  48. J

    Wiki Insurance company (one in particular) requesting medical records

    Thanks for replying Hi Jim, He did not document sedation time on this procedure so I only documented 99152. I cannot bill for what is not documented but I know I have on the procedure log that he did the 1st 15 minutes of sedation. After that I cannot assume or calculate. Is this correct???
  49. J

    Wiki Svg angiography and lhc, attempted ptca lmca

    Thank you! Thank you ! ;)
  50. J

    Wiki Svg angiography and lhc, attempted ptca lmca

    PROCEDURE PERFORMED: 1. Left heart cardiac catheterization. 2. Selective coronary artery angiography. 3. Left ventriculography. 4. Attempted percutaneous transluminal coronary angioplasty of the distal left main coronary artery. INDICATION: 1. Unstable angina pectoris. 2. Acute coronary...
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