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    Wiki TCM coding 99495, 99496 for Cardiologists

    Hello everyone, Checking to see if anyone has been submitting the TCM service CPT codes 99495, 99496 for Cardiology specialists? On my research it says Specialists can provide these services. But I am unable to find further details except for this one from AAPC ...
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    Wiki VenaSeal CPT 36482 - second kit reimbursement

    Hi everyone, I am looking for details on how to bill for the second kit used for VenaSeal ablation at office. The first catheter was completely clotted inside the lumen of the catheter due to difficult anatomy and our provider had to use a second kit to complete the procedure. We submitted...
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    Wiki MAC Vs Moderate Sedation Vs Conscious sedation

    Hello experts, Hope one of you can help me with my confusion. My surgeon sent the above OP note, performed at an ASC facility, which states Monitored anesthesia care( MAC) but told us that she provided the conscious sedation. Monitored anesthesia care includes Moderate or Conscious...
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    Wiki NP billing for loop implant procedure?

    Can anyone guide me on this? Please share your experience in billing criteria in such scenarios.
    • vidraj
    • Thread
    • 33285 loop impalnt np billing
    • Replies: 2
    • Forum: Cardiology
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    Wiki How to bill a post op fever?

    Hello all, I am debating over a claim where to code it as inpatient consult or a post op follow up. Below is the scenario and I hope one of you can give me your thoughts. This patient had a major procedure by our general surgeon and is under 90-day global period. Patient called the next day...
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    Wiki ASC Billing - Same day - EGD and Colonoscopy .Need your inputs.

    Hello everyone, I am new to ASC coding and wondering if someone can help me with this. 1.Does ASC facility get paid for both the same day EGD and Colonoscopy ? 2.Do you bill both under one claim or submit as separate claims ? 3.And any modifier required as they are totally separate...
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    Wiki Choosing diagnosis codes for lower extremity

    Hello everyone, Just need your thoughts on this scenario. I am working on getting authorization for Lower extremity study. It was advised to evaluate peripheral vasculature as patient has claudication, leg weakness, discoloration in both legs. Patient has an abnormal ABI, showing- severe...
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    Wiki Need help coding Lower extremity angiography with intervention procedure.

    Hello everyone, I need help with this procedure described below: Indication: Patient referred for bilateral leg ulcerations. The patient was suspected to have bilateral venous insufficiency; however, an ABI was done as a screening test, which was abnormal and hence suggested bilateral SFA...
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    Wiki Need help on UHC denials/ documentation on 99152 , 99153

    Hello everyone, Looking for some inputs on this: UHC has been denying the moderate sedation code 99152 and 99153 for the Cath lab procedures (Diagnostic Coronary angiograms , PM implant procedures) With the same documentation(shots of the sedation part as described below): few claims got...
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    Wiki Screening for progression of AAA - 76706 or 76705

    Hello, Our Physician did an ultrasound for a patient new to the practice - to check the progression of AAA (I71.4 ) Need your inputs on this if this can be coded as 76706 or 76705? The ICD is not meeting the CMS medical necessity guidelines for 76706 for the AAA screening. Please suggest!
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    Wiki Conscious sedation for TEE - Is it bundled with the procedure?

    Hello everyone, Do you still continue to code the conscious sedation/ MAC codes 99152/99153) along with TEE ? I was researching and found this 2022 update from CMS website. https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52868&ver=22&Cntrctr=275 Can anyone...
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    Wiki Need help - TTE with Bubble study - CPT code

    Hello again, Need your inputs on 1. How do you code - Echo (TTE) with Bubble study - done at Hospital - Echo (TTE) Bubble portion only - at office 2.What documentation to look for in the reports in specific to bubble portion? I am unable to find any specific CPT code for Bubble portion...
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    Wiki 76000 with 33208 - Need help!

    Hello, Can anyone suggest if we can to bill 76000 separately with Pacemaker implant procedure 33208 or is it inclusive? Thank you, Vid
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    Wiki Moderate sedation CPT code 99153 - Medicare denials

    Hello! Is there any update on Medicare denial - for billing additional Moderate sedation time - CPT code 99153 for Cardiology procedures in a facility setting? https://www.cgsmedicare.com/partb/pubs/news/2017/03/cope2489.html - is the closest I could find. Looking for any updates for the...
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    Wiki Can we code Z95.0 for the presence of temporary Trans Venous Pacemaker?

    Hi ! Can anyone confirm if I can use Z95.0 for the presence of Trans Venous Pacemaker? TIA Vid
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    Wiki Coronary Shockwave Lithotripsy - CPT code?

    Hello everyone, Need opinion with CPT code for the interventional procedure below. Procedure note: The right radial artery was accessed via Seldinger technique, 6-French sheath was introduced. A 6-French EBU 3.75 guide was used to cannulate left main. Diagnostic angiography reveals patent...
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    Wiki Assess LV function / Evaluate EF - Diagnosis code for TTE

    Hi everyone, What is the ICD 10 diagnosis code used , when a physician interprets a TTE report done to Assess LV function / Evaluate EF ? I have been using I51.9 - Heart Disease, Unspecified, which covers Approximate Synonyms Cardiac disease postpartum Chronic left ventricular...
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    Wiki Need help - on sameday ICD lead revision

    Hello everyone, I need help with the following procedure. Procedure Summary: Successful implant of CRT - D Medtronic Successful LV lead revision.Removal of S shaped lead and placement of new L shaped lead In short, patient had inital ICD gen, New RA , RV and LV implant. After removing...
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    Wiki How to code Aborted Watchman procedure?

    Hello everyone , I have been using 33340 - 53 - Dx code, for all cancelled Watchman procedure due to anatomical constraints. I would like to know if anyone codes differently! Especially with reference to this link...
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    Wiki Need help - coding 75820 upper extremity venogram

    Hi everyone, Need help with this claim. Patient had the following procedures: 1. Dual Pacemaker implant 2. Left upper extremity venogram x 4 Venogram was repeated 4 times, as the surgeon was not able to access the vein. Can we code this as 75820 x 4 as it was repeated until...
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    Wiki Need help - 75630 , 36247 - Can I code catheterization 36247 separately?

    Hi everyone, Below are the details of the procedure. Procedures performed: 1.Abdominal Aortic Angiography 2. Bilateral Lower extremity Angiography Technique: The right radial artery was accessed via Seldinger technique and a 6- French sheath was introduced. A pigtail was used for Abdominal...
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    Wiki 99223 and modifier 57

    Hi everyone, I got confused with a denial claim and thought someone can help me out here. For initial visit (on which decision to perform Pacemaker insertion was made )- coded 99223 - 57 modifier The second day - patient had PM insertion - coded 99233 - 25 and 33208 - KX with MAC The third...
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    Wiki Need help -Watchman Procedure non-covered services because this is not deemed a medical necessity by the payer

    Hi everyone, I am looking for the updated diagnosis list to support watchman procedure to resolve a claim denial. Below is the link which I had referred for a claim and still got denied by Medicare (33340 - Q0 - I48.20, I50.20, Z79.01, Z00.6 ,Patient's age falls between 65- 70 yrs...
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    Wiki Need Help - PR B9 denial for 93928 - patient enrolled in Hospice.

    Hi everyone, Can we use GW modifier for this denial? Or which modifier is used for any procedure performed on Hospice patients - remote or in person? Appreciate your help. Thanks.
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    Wiki Need Help - CPT code 93623 denial for using Modifier 26, by IEHP

    Hello everyone, Has anyone going through the same issue that IEHP has been denying code 93623, stating - "Procedure modifier 26 was invalid on the date of service" and to submit with a different Modifier? This is for Cardiology provider at California. When checking with Codify, it doesn't...
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