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  1. 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...
  2. 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?
  3. 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.
  4. 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...
  5. 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...
  6. 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...
  7. 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...
  8. 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...
  9. 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...
  10. 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...
  11. 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...
  12. 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...
  13. 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.
  14. 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...
  15. M

    Wiki Nuclear Medicine coding questions

    Hi,...does anyone know how to access other Radiology forums....I need NUCMED...cannot find it. Thanks.
  16. 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...
  17. 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...
  18. 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.
  19. 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...
  20. 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...
  21. 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...
  22. 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...
  23. M

    Wiki testing

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

    Wiki Hello

    Just checking to see if this post works.
  25. 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...
  26. 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...
  27. 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...
  28. 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...
  29. 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...
  30. M

    Wiki A/v fistula angiographies-art/ven

    Hi, Guys, Can someone help me with this one? Not sure if I'm to code for both the venous and arterial angioplasties. I have....36147,36148...and would it be 35475, 35476,59...with their rs&i codes...75962 and 75978? Thanks so much. HISTORY: End-stage renal disease with right upper arm fistula...
  31. M

    Wiki Liver lymphangiography

    Hey Guys, Is anyone familiar with coding for a Liver Lymphangiography. I don't have a procedure report available right now, but I'm wondering if any of you are coding for this. Thanks so much.
  32. M

    Wiki 36224 and 36226 RE BUNDLING ISSUE

    Hi Guys, Do you bill 36224 and 36226 together? They do not come up as a CCI Edit, but a carrier is denying, stating that as the Cervicocerebral Arch is included in 36224, then we cannot bill 36226 with 36224. I know this isn't so, as in description of 36226, it also says that the cervicocerebral...
  33. M

    Wiki Tunneled cath via saphenous vein

    Hey Guys, I have one where the central line is inserted via the saphenous vein....as saphenous is a peripheral insertion, which code would i use...36557 is a central insertion....so not sure what to use for this. PROCEDURE: A limited ultrasound of the right groin was performed to choose a site...
  34. M

    Wiki ? Re venogram/cath placement prior to procedure

    Hey Folks, Exactly which codes would you use for the venogram and catheter placement prior to 37212? Preliminary lower IVC sonography finds no IVC clot. The patient was placed prone on the x-ray table and an ultrasound of the left popliteal vein was performed . A suitable skin site was...
  35. M

    Wiki Mr lymphangiographies

    Hi, Are any of you folk coding these? MR Lymphangiographies? What do you think would be the proper code(s)? Margie Technique: True Fisp Static Axials, T2w 3d Space, Dynamic Intranodal Time Resolved Contrast Enhanced 3d Mr Lymphangiography (DCMRL) And Delayed 3d Ir Flash Sequences Were...
  36. M

    Wiki Angiographies-iliac, etc. Question

    Hi Guys, What about these angiographies? Very unclear on leg angiographies..can someone help me? PROCEDURE: The skin of the right groin as well as right leg and foot was prepped and draped in sterile fashion. Using US guidance a 21 gauge needle was inserted in the right superficial femoral...
  37. M

    Wiki Help - venography question

    Hi Guys, For the Venograms prior to thrombolytic infusion, bilateral, below....i am confused as to the correct venography code for each side....catheter into popliteal vein, femoral-popliteal venography done, then catheter into IVC where infusion catheter was placed. So which are the proper...
  38. M

    Wiki One or two operative fields?

    Hi guys, I coded this as one unit of 61626, but i want to be sure this is considered just one operative field. Input please? PERCUTANEOUS NASOPHARYNGEAL FIBROMA EMBOLIZATION: Under direct visualization an 22-gauge, 3.5 inch spinal needle was inserted into the anterior portion of the tumor...
  39. M

    Wiki Hepatic venous organ sampling with angiographies

    Hi, This is a venous organ blood sampling with several angiographies. Do we get just one billing of 36500/75893, or is there more billing to be gotten in this study? It is a right hepatic venous sampling. The angiograms seem to be for the end purpose of the venous organ sampling. Do we get to...
  40. M

    Wiki Angiographies of celiac axis trunk

    Guys, When doing angiographies of the celiac axis, the coding goes as follows, correct? They re all in the same vascular family, so if doing a celiac, and then rt/lt hepatic, one uses the 36248 and 36247, 75726, 75774, 75774.. If there is more than one 2nd or 3rd order, i would use 36248 and...
  41. M

    Wiki Coil emboliz/laser ablation-venous access/venogram

    Hy Guys, Would someone give me their opinion re procedure below. I know I can't bill for the Endovenous Ablation, as it is in the same operative field as the Coil Embolization. But I was wonder the correct billing re....venogram and venous access. So, it's 37241 and 36011 X3?..what about the...
  42. M

    Wiki 77012/76942/77002

    Folks, If US and Dyna CT guidance are both documented, I know that 76942 is primary over 77012, but can I choose to bill for 77012 over 76942, and also......is 3D considered integral to and/or part of 77012, or can it be billed in addition to 77012, assuming documentation. Trying to find some...
  43. M

    Wiki Injxn indium 111 for cisternography

    Hiya, I have an LP Lumber with injxn. of Indium 111 done by IR prior to Cisternography to be done by Nuc Med. I found code 62311, but it says...injxn...except of neurolytic agent...and Indium 111 is a neurolytic agent.... Is anyone familiar with these and which code to use for the injection into...
  44. M

    Wiki HELP! Arteriograms/Venograms/Shuntograms

    Hi Guys, Is anyone out there today who can help me with this one? Possible codes: 36245,75726,36245-59,75726-59,36011-59,36012,36481,75887...what about the shuntogram? Also, didn't see selective catheterization of renal artery... Exam: IR Angio Visceral Selective IR Angio Renal Unilateral...
  45. M

    Wiki Help with these angiographies, please....

    Hi Guys, Can you please give me some input on the Angiographies done prior to Embolization procedure below. Thanks so much. Margie 1. Ultrasound guided access of the right common femoral artery. 2. Abdominal aortogram. 3. Selective catheterization of left L3 intersegmental lumbar artery and...
  46. M

    Wiki Superior Mesenteric Venography w/Portography & Angioplasty

    Guys, How am I to code for the SMV Venography?.... I also have 36481, 75885, 35476, 75978.... Can't find info on the SMV Venography....would it be 36011 or 36012 & ?...no more 75774, from what I've read?... Exam: IR PTA Venous IR Venogram Portal W/ Hemodynamics Completed: 05/08/2014 12:01 PM...
  47. M

    Wiki Venogram/tunneled line/port removal

    05/12/14 Guys, Want to be sure of my codes here...Is it 36558, 36590, 36005-59,77001, 76937,75820-59?....22 yr. old patient. Reason:removing port infected port, needs central access picc Interpretation: Procedures: Left upper extremity venography, placement of single incision...
  48. M

    Wiki Voiding Cysto-instillation of contrast via gravity drip

    Folks, For a Voiding Cysto, if anyone here codes them, we bill 51600, as after catheterization of Bladder, the contrast is instilled via gravity drip....are we okay to bill 51600 for this? Also, we do not bill for the scout film, as it is bundled into 74455. Want to see how others are coding...
  49. M

    Wiki Angioplasty of Biliary Anastomosis

    Hey Folks, So...I do not see a code for a balloon angioplasty of a biliary anastomosis. There is an endocsopy code, and i saw an earlier post on here than one may use the endoscopy angioplasty code when applicable, but when is it applicable? What do you think about the one below? I would code...
  50. M

    Wiki Help with this big kid...the angiograms!!!

    Hi Everyone, Anyone feel like tackling this one? The diagnostic angios are what get me.... Tentatively I have.....Right side-36226 (subclavian also done but dr. said she did inject into vertebral), 36223, 36227, and....Left side....36226, 36223.....then the intervention....61624, 75894, and...
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