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    Wiki add 33362?

    You are correct that femoral access was for the CPB portion. The note states "chest opened". I would think code 33858 AND 33405 would be billed due to the valve was also repaired. So if anything you forgot to bill the 33405. "The aortic valve, however, had moderate aortic regurgitation present...
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    Wiki Resource Help

    ZHealth Publishing | Medical Coding Resources this resource has a cost but is the most helpful. I love the books; they give great descriptions. https://www.zhealthpublishing.com/coding-specialties/vascular-endovascular-surgery-coding
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    Wiki billing for 37231 + 37225 together

    I only see modifiers RT/LT would be needed as there is no bundling of the two codes.
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    Wiki TAVR vs. AVR

    You only bill the end procedure so the open valve (33405). Code 33405 allows cosurg when supported. So if your documentation clearly shows that this was intended to be the TAVR and it turned open I would think this would help show the need for the 2 surg. Having them also document the need for...
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    Wiki Primary codes for new add on code +33268

    I've been billing it when they do the CABG or a aortic valve. There is no specific codes linked to it yet from Medicare. (Add-on code 33268, if performed concurrently, may be reported in conjunction with a primary procedure performed via a sternotomy or thoracotomy.)...
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    Wiki Sx not completed due to intraoperative death

    you can add -53 and add diagnosis Z53.8, you can always add the narrative "patient deceased intraoperatively" on claim to help with mod. 53
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    Wiki Revised question: Modifier 58 or 78

    Using modifier 58 vs 78. Initial surgery was 35355(Thromboendarterectomy) & 35566 (fem-tib vein bypass graft). Pt comes back to OR for large area of debridement's almost weekly due to an skin infection. For all the debridement surgeries would you code them with a 58 or a 78 attached due to the...
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    Wiki modifier 78 vs 58

    These were all taken back to the OR due to the size of the wounds.
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    Wiki modifier 78 vs 58

    Need opinions on using modifier 58 vs 78. Initial surgery was 35355 & 35566. Pt comes back for large area debridement's almost weekly due to an infection. For all the debridement surgeries would you code them with a 58 or a 78 attached due to the initial surgery which has a 90global? The notes...
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    Wiki VATS

    I agree this appears to be 32601 vs 32606 since no biopsy was mentioned, only draining of the sites was performed.
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    Wiki Ancillary Services Prior to Office Visit

    I would think if they are ordering a non invasive test for any and all patients that are coming into your office would raise a flag but if you are only following this protocol for the patients coming in for "rest pain" or claudication I would think this is very justifiable. If this was being...
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    Wiki Ancillary Services Prior to Office Visit

    It is not uncommon for them to order the noninvasive arterial/venous Doppler/duplex test prior to being seeing. They need to be able to know what's going on in the vessels to see if the lack of flow is what's causing them to come in. At each follow up, a study is ordered just prior to the visit...
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    Wiki New to coding this speciality please help

    Code 32225 is a column 2 code for 32097. I would not code the bx because there is not enough to unbundle. I would just code the 32225.
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    Wiki Hemi Arch Repair

    I did not attend the 2017workshop but from prev. years this is the notes I have "Documentation in operative note must described that transverse arch resection requiring either antegrade cerebral perfusion or retrograde cerebral perfusion and/or circulatory arrest was performed to accomplish the...
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    Wiki Catheter placement with VATS: BILLABLE?

    I was wondering are other physicians billing 32550 with the use of VATS 32601? Are you getting paid? Should we bill together even if the 32601 has the "separate procedure" in the heading? I feel that it is being performed for "guidance" only and no true diagnostic procedure is being performed...
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    Wiki Need confirmation coding for TPI 20552 vs 20553.. Please!!

    I would go with 20553; the back has two muscles if he did the bilateral trigger points in the lumbar muscle, and the one for the shoulder equals (3) so 20553 seems appropriate. ------ Back location injected: Bilateral lumbar Shoulder injected: R periscapular...
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    Wiki Cpt for cardiopulmonary bypass support only

    We usually bill 33954 or 33956
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    Wiki Hemiarch Penninsula Graft Help, report with 33870?

    NOT POSTIVE on my response but my thought process is this: If he is undergrafting the aorta and not placing grafts on the head vessels than we are not suppose to bill the Hemiarch graft. The 33870 is mainly for the work of placing a graft on the head vessels. If the aortic graft is just...
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    Wiki Thromboendarterectomy iliofemoral - Help!

    The code book itself does not state that it has to be an incision through abdomen. The term -Ectomy just means it was excised. Usually these are performed through the groin. As long as the physician made an incision into the body and documents the location you can bill this code if the actually...
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    Wiki Open brachial cutdown: billable?

    37236:Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and...
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    Wiki Need help

    Vascular resource http://zhealthpublishing.com/ has some good webinars and resources
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    Wiki New CPT Codes for 2016?

    code change articles heres two articles that can help with code changes: https://www.aapc.com/blog/32826-cms-releases-2016-hcpcs-corrections/ https://www.aapc.com/blog/32897-sneak-a-peek-at-cpt-2016-changes/
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    Wiki Assistants on S&I codes?

    Does any one have physicians that like to bill for an assistant on S&I codes? IF so, do they get paid with supporting documentation? What does your physician state why they need the extra help for those parts?:confused:
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    Wiki navigational bronchoscopy

    +31627: Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with computer-assisted, image-guided navigation (List separately in addition to code for primary procedure[s]) Since it states "procedure[s]" You only use once per claim not per code. Medically Unlikely...
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    Wiki Open Position:MEDICAL BILLING & CODING SPECIALIST--Ann Arbor, MI

    MEDICAL BILLING AND CODING SPECIALIST--Ann Arbor, MI Category:Business Services Facility:IHA Administration Department:Business Services Schedule:Full Time Hours:40 Hours Job Details: Certification 1 - 3 years of experience required The Medical Billing and Coding Specialist-Surgery...
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    Wiki Not sure how to code this. Help, please.

    could also bill 76937 for the Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites
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    Wiki 28510 vs consult code

    Patient was seen in Urgent care and thats where the patient had his t4 toe buddy taped. Specialty Physician billed 28510 and no new taping was done. The physician did perform xray and billed for that but the specialist wants to bill 28510 but he didn't perform/touch the patients toes. Should the...
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    Wiki CCVTC CEUs

    CEU help http://zhealthpublishing.com/seminars-and-webinars This is a good resource!
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    Wiki 37236+37237 or bilateral?

    I would use the -50. The add on code +37237 would be used if they were placing a stent in an additional artery branching off the intial right or left. Since they aren't connecting vessels (the aorta separates them) I wouldn't code the additional vessel. Kristen D. CPC, CCTVC
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    Wiki HELP! MV repair followed by MV replacement

    bill replcmt w/modifier 22 I would bill the replacement with the modifier to show the work done prior...you always have to go with the furthest treatment done on the body part.
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    Wiki Cabg-When a CorMatrix

    Our Physician wanted to try billing this code as well and "NO" we cant bill for that code. It's for "soft tissue reinforcement" and since it's an add on code it has a list of primary proc. that you can use it with and CABG is not on the list.
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    Wiki which code would you use?

    our physician removed a lipoma in the subcutaneous tissue on the "buttock" which code would you use -21931: Excision, tumor, soft tissue on back or flank or -27043: Excision, tumor, soft tissue of pelvis and hip area :confused:
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    Wiki Av fistula creation w/ligation

    attaching -22 "Anatomical variants could be an appropriate use of the modifier" -22...per Medicare. I would just bill a -22 asking for more money and state the extra work as you did above with the ligation that was needed to finish the fistula.
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    Wiki who still covers consult codes??

    CONSULT codes:99251-99255/99241-99245 What payers still cover consult codes in 2012??
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    Wiki CONSULT codes:99251-99255/99241-99245

    CONSULT codes:99251-99255/99241-99245 what payers still cover consult codes as of 2012?
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    Wiki Cardiac code help

    CAN YOU HELP ME FIGURE OUT HOW TO CODE THIS PROCEDURE(#2) NAME OF PROCEDURES: 1. Aortic valve replacement with an Edwards Lifesciences bovine pericardial Magna Ease 23 mm valve, model #3300TF6, serial #3024439. 2. Autologous aortic patch repair of the left ventricular outflow tract underneath...
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    Wiki atrial appendage

    LAA is bundled with the MAZE or Mitral valve repair/replacement. you can bill for the LAA with other cardiac proc./CABG as an unlisted code or attach -22.
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    Wiki CIRCC certification - anyone can give pointers

    Circc Thanks for all the help! If you wouldn't mind, could I get email address for contact purposes :) I planned on ordering the test as well as the guide. I have coded vascular surgery/proc. for over a year and now doing Cardio/thorasic for just over 6 months. So I am hoping by the time I take...
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    Wiki CIRCC certification - study for the exam!

    I am looking into taking the CIRCC exam within the next year, I was wondering if anyone can give pointers, resources & sites to help study and is any one who is circc certified willing to help with giving direct contact info for any questions as I study for the exam!
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    Wiki CIRCC certification - anyone can give pointers

    I am looking into taking the CIRCC exam within the next year, I was wondering if anyone can give pointers, resources & sites to help study and or networking any one who is circc certified willing to help withgiving direct contact info for any questions as I study for the exam!
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    Wiki payment on s2900

    Does anybody know if BCBS is still paying on code: S2900?:confused:
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    Wiki VATS: hemothorax drainage/code?

    Can you help code: "Previous chest tube site was irrigated with Betadine. This was used as a port. Upon entry with the thoracoscope, there was significant old clot and we were able to clear a space to put a second 10 mm port in the posterior axillary line eighth interspace as well as a ninth...
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    Wiki debridements in post op period

    I was under the same problem and with discussion with other workers it was brought to our understanding that debridements can only be billed out with the attached Modifier 78 and they have to be taken to a procedure room/op room in order for the services to be billed, other than that they are...
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    Wiki CABG w/mediastinal lymph node dissection

    what about codes 38500-38525 those are listed as biopsy or excision of lymph nodes (depending on location) and attaching modifier -59 to let them know this was separate from the CABG.
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    Wiki Help with Codes

    :confused: This was the procedure...Can someone please advise with the correct codes...I was coming up with, 35540 &35331. "Re-do aortobifemoral bypass with aortic thromboendarterectomy with proximal aortic thromboendarterectomy."
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