Search results

  1. M

    Wiki LATERALITY MOD ON CENTRAL LINE PLACEMENT?

    Jim, are you saying across the board....that all third party payors want the laterality mod, or is it payor specific? I eel some payors require it and some do not....so I guess best bet would be to code the mod. Thanks so much.
  2. M

    Wiki LATERALITY MOD ON CENTRAL LINE PLACEMENT?

    Do you guys routinely add a laterality modifier on a central line/port, etc. placement? We never did this, and now this is being discussed. If there are insertions on both right and left sides, we would append an rt/lt, but for a single placement, we are wondering if everyone appends an rt or...
  3. M

    Wiki 95967....59 mod on subsequent 95967's?

    Thanks so much, Jim!
  4. M

    Wiki 95967....59 mod on subsequent 95967's?

    Hi, For MEG billing, if one uses 95967 more than once, would we append a 59 modifier on the 95967 after the first one?
  5. M

    Wiki NUMBER OF GUIDANCE CODES FOR RT & LT JUGULAR LINES

    Thank you, Jim. You're the best! Margie
  6. M

    Wiki NUMBER OF GUIDANCE CODES FOR RT & LT JUGULAR LINES

    If IR Doc places two central lines (say Rt & Lt Jugular) in one session, both with Fluoro and US guidance, how many times does one bill 76937 and 77001? Is the direction to bill guidance codes for each site unless it is a Medicare patient? Would love some input on this. Thanks so much.
  7. M

    Wiki CTA WITH DYNAMIC AIRWAYS STUDY....CORRECT CODING

    CTA WITH DYNAMIC AIRWAYS STUDY....SOMEONE PLEASE! Thread startermargaret fahy Start dateJan 12, 2024 TagsNone Create WikiWatch ••• M margaret fahy Guru Messages191LocationPhiladelphia, PABest answers0 Jan 12, 2024 Add bookmark #1 Should the code be 71275 only, or should 71250 (59) also...
  8. M

    Wiki CPT CODE FOR IVC ULTRASOUND?

    I assume this was not done during a procedure, so not 37252.....
  9. M

    Wiki CTA WITH DYNAMIC AIRWAYS STUDY....SOMEONE PLEASE!

    Should the code be 71275 only, or should 71250 (59) also be coded? CT ANGIOGRAPHY CHEST DYNAMIC AIRWAY CT INDICATION: Evaluation for aortopexy in the setting of tracheobronchomalacia; Hamilton Protocol TECHNIQUE: CT angiography of the chest was performed using ECG-triggered dual source...
  10. M

    Wiki PERCUTANEOUS EMBO CHEEK AVM WITH CEREBRAL ..PLEASE HELP!

    RICA and LCCA angiographies, catheterization of jugular vein via femoral w/balloon do occlude draining vein during treatment, Left face prepped...w/US guidance, portion of the avm accessed w/angiocath. Contrast injxn. done by hand injxn with & without lt. jugular vein balloon occlusion. Process...
  11. M

    Wiki RENAL ANGIOGRAPHIES & ANGIOPLASTY - CORRECT CODES

    Suchang78.....you are the best....thanks so much, and have a happy day.....
  12. M

    Wiki RENAL ANGIOGRAPHIES & ANGIOPLASTY - CORRECT CODES

    Thanks so much...….question....for Left Angiography,...…..i don't see the documentation for the catheter being anywhere but in the left main renal for the Angiography...…...it was crossed for the Angioplasty, but I do not see documentation of an Angiography with catheter in the lower...
  13. M

    Wiki RENAL ANGIOGRAPHIES & ANGIOPLASTY - CORRECT CODES

    36252 vs 36254 and how many Angioplasties? PROCEDURE: The skin of the right groin was prepped and draped in sterile fashion. 　Using US guidance a 21 gauge needle was inserted in the right common femoral artery. 　Once arterial blood return was obtained a .018" Nitrex wire was placed into the...
  14. M

    Wiki US OR CT GUIDANCE?

    Jim....so you would go with where the procedure was done...in this case, the CT scanner, as opposed to the guidance used for the needle placement.....correct?
  15. M

    Wiki INFUSION CATHETER PLACEMENT W/VENOGRAPHY

    Haven't coded one of these in a while, and i'm having trouble remembering re the venogram and the infusion catheter insertion...first day venous......what code(s)….do I code the venogram and also cath placement via same vein? what codes for the venogram and catheter insertion? limited...
  16. M

    Wiki US OR CT GUIDANCE?

    Thanks so much, Amanda. I agree....this makes the most sense. And since the reports I code oftentimes have more than one type of guidance, this is very helpful.
  17. M

    Wiki US OR CT GUIDANCE?

  18. M

    Wiki US OR CT GUIDANCE?

    Amanda....duh...so sorry...meant to say Fluoro and CT Guidance....oftentimes there is CT guidance in addition to US or Fluoro….my question is....must one use the primary code, or can we code the secondary guidance code, documentation permitting? If the CT is for localization of the area, and...
  19. M

    Wiki US OR CT GUIDANCE?

  20. M

    Wiki Radiology Coding FNA vs Core Biopsy

    Agree with Thomas.....go by what is documented in your report.....it's it's an FNA, the body of the report will support that, and if it's a core needle bx., same.....I would go by the documentation in the report, not the pathology report.
  21. M

    Wiki Radiology Coding FNA vs Core Biopsy

  22. M

    Wiki HOW MANY SCLERO SITES?

    How many sclero sites would you code? If coming from same vein, it's one site...notes document Venous Malformation of Neck.... HISTORY: Left back, labial and right medial knee venous malformation for sodium tetradecyl sulphate sclerotherapy. The left back venous malformation was examined...
  23. M

    Wiki Sclerotherapy-the venous codes

    Erik, Thanks so very much. Bundling aside, I get confused w/these venogram codes...e.g...why does book give 36012 for catheterization of pop.vein, when, unless 2nd order selective or higher, it should not be 36012...if this were not bundled, it would be 36005 for my report, correct?
  24. M

    Wiki US OR CT GUIDANCE?

    Which guidance code? 76942 is bundled into 77012. CT used for localization..US used for needle insertion...Does one always have to use the primary guidance code, or does documentation tell us which code to use? PROCEDURE: The patient was placed in a RLD position on the table. 　CT imaging was...
  25. M

    Wiki Sclerotherapy-the venous codes

    37241 & 36012 or 36005? left leg/thigh venous malformation examined with US. suitable access site for needle placement was id'd and skin marked. Left leg prep/draped from upper thigh to ankle. Using US guidance access into multiple hypoechoic venous structures with a 21 gauge needle was...
  26. M

    Wiki Which Venography Codes?

    Jim, Thanks...so if the catheter is advanced in a straight line to other veins and not off to branches, then it would still be 36005....I see...….and yes, permanent images were stored, with reference to the 76937. Thanks so much for the enlightenment re the straight line as opposed to branches.....
  27. M

    Wiki Which Venography Codes?

    Question re Reply Which Venography Codes Jim, Thanks so much. Questions:.....why is it just 36005 when the catheter was advanced to femoral, ext. iliac and com.fem.veins for venography? I'd really like to understand this better. Also....in re documentation for 76937...I cut this out.....A...
  28. M

    Wiki Which Venography Codes?

    Hi, I have 37212 and 36012/75820, and 76937....not sure of other venography codes. Please help. Using ultrasound guidance a 21 gauge needle puncture needle was advanced into the left distal popliteal vein and once blood return was obtained at 0.0 18 Mandril wire was advanced under fluoroscopic...
  29. M

    Wiki Alcohol Ablation of Lymph Nodes for metastatic thyroid cancer

    Hi, I know the direction a few years back for alcohol ablation of lymph nodes for metastatic thyroid cancer would be to use 20500/76080. Is this still correct, or would I use 49185? Would someone please answer this question for me? Thanks so much.
  30. M

    Wiki Nj placement

    which GI placement code would you use for this placement of an NJ tube PROCEDURE: Via the right nostril a 5F JB-1 catheter with a .035" Bentson wire was placed into the stomach and manipulated until the wire was in small bowel distal to the ligament of Treitz. The JB-1 catheter was removed and...
  31. M

    Wiki Nuclear Medicine coding questions

    Hi,...does anyone know how to access other Radiology forums....I need NUCMED...cannot find it. Thanks.
  32. M

    Wiki Peripheral line via saphenous and venogram

    Guys, How would you code this one? Would it be...36568, 77001, and 76937 only, as the venogram was done via saphenous, and saphenous was the insertion site. Dr. doesn't document tunneling in saphenous vein. PROCEDURE: A limited ultrasound of the right groin was performed to choose a site for...
  33. M

    Wiki Optical coherence tomography for renal vessels

    Guys, I don't see a temporary code for OCT for vessels other than coronary....do you know of any other temporary codes for this scenario? Next over the 0.014 wire, the OCT system was advanced into the left renal artery via the Flexor sheath, which was advanced to the origin of the left renal...
  34. M

    Wiki Bill for radiologist's interpretation of fluoro images?

    01/19/16 Folks, Does anyone bill for the fluoro images interpretated after the fact by a Radiiologist? Wondering what other facilities do with respect to fluoro spot images and views.
  35. M

    Wiki Chemo injxn-intra-arterial-head

    01/15/16 Folks, What codes would you use for this one? PROCEDURE: The skin of the groin was prepped and draped in sterile fashion and local anesthesia using 1 percent buffered lidocaine was infused over the right common femoral artery. Using Seldinger technique a 21g needle was inserted into...
  36. M

    Wiki Sclerotherapy question

    01/14/16 Guys, How would you code this one? FINDINGS: An US of the left elbow lymphatic malformation was performed, showing multiple anechoic structures which are easily compressible. A suitable access site for needle placement was identified and the skin marked. The left elbow was prepared and...
  37. M

    Wiki Optical coherence tomography during renal angiography

    Hi, Is there a temporary code this OCT of vessels other than coronary?...as below.... Next over the 0.014 wire, the OCT system was advanced into the left renal artery via the Flexor sheath, which was advanced to the origin of the left renal artery with the aid of the Cobra catheter and 0.035...
  38. M

    Wiki Tunneled line via superficial vein

    How would you code this? A tunneled line via superficial femoral vein? PROCEDURE: LEFT FEMORAL DOUBLE LUMEN TUNNELED CENTRAL LINE PLACEMENT PROCEDURE: A limited ultrasound of the left groin was performed to choose a site for insertion of the central line. The left superficial femoral vein...
  39. M

    Wiki testing

    testing...have not been able to post for a while....
  40. M

    Wiki Hello

    Just checking to see if this post works.
  41. M

    Wiki 10022 with 76942

    Agree...you can use the imaging codes with 10022...76942,77002,77012,and 77021. It is misleading, as with imaging guidance is listed in code description. However, per CSI IR Procedures and also Encoder Pro, it is totally appropriate to bill for the imaging guidance with 10022.
  42. M

    Wiki Venograms question

    Hi, What venogram/catheterization codes would you use for this? 36012, 36012 and 75820...or 36012, 36005, 75820? History: 17-year-old boy with right upper extremity swelling, heaviness and paresthesias whose previous imaging has shown a congenital rib anomaly and obstruction of his medial right...
  43. M

    Wiki 61623 & 61624? Balloon occlusion & embolization

    Hi, I got this answer from Jim Pawloski on this site. Found in Dr. Z's cardiovascular book, If Carotid test occlusion is followed by permanent occlusion, bill both procedures. So you have 61623, 61624, 75894, 75898. You can bill as many post angio runs that are documented. I billed for both...
  44. M

    Wiki CT Scans

    As far as I know, these would be two separate billings.
  45. M

    Wiki Venograms & embolization

    Hi, I'm unsure of the venogram code(s) for the Embolization below. Is it 36005/75820 and 37241, or X2? Thanks so much. PROCEDURE: The left lower extremity venous malformation was examined with ultrasound and two suitable access sites for needle placement were identified and the skin marked...
  46. M

    Wiki 61623 & 61624? Balloon occlusion & embolization

    Hey Guys, Is 61623 included in 61624? CSI book doesn't state so, and they're not bundled. Procedure is below....can someone tell me if I am to bill 61623 when it is done in same session as 61624? PROCEDURE: Cerebral angiogram, left internal carotid artery balloon occlusion test, and...
  47. M

    Wiki Venogram/cath insertion for thrombolysis

    03/03/15 Hi Guys, For procedure below, I want to be sure I'm coding properly for the Venograms and catheter insertion. Is it 36005/75820 and then the 37211? The venograms are confusing me, as he went to the axillary vein and then across the subclavian and a pullback venogram was done.... Need...
  48. M

    Wiki 36252 vs 36254 renal angiographies

    Thanks so much, Jim. I coded it as 36252, but the code came to me as 36254. So, the IR dr. would have said...superselective catheterization or documented 2nd or 3rd level vessels in order for it to be 36254. I feel better now.... Have a great day.
  49. M

    Wiki 36252 vs 36254 renal angiographies

    Hi... For angiographies below, dr. documents rt/lt main renals and then rt/lt accessory renals. Would you code 36252, as the accessory renals are included in this? Dr. doesn't state order of vessels but does mention "branches" in findings.... What would you guys code? Thanks so much...
  50. M

    Wiki A/v fistula angiographies-art/ven

    Carol, Thanks...I was just worried because of the sites of the venous/arterial angioplasties...book says...if one is central and one is peripheral...was having a hard time deciding....and the arterial should be billed over the venous, correct?...as you posted the code.
Top