Vascular IR Fundamentals – Building a Foundation for a New Year

As you know, coding for vascular angiography and interventions is complicated. Adding to the challenge, it is open to interpretation (hello often unclear documentation!) and tends to change frequently making for a problematic mix that places even the most experienced coders under pressure. Coders must be fully up to speed

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abstract blood vessels

Current IR Audit – Renal and Peripheral Angiography

If there’s one thing we can count on to remain consistent in the world of IR coding, it’s that this time of year is full of change – potentially with a hint of chaos, and sometimes surprises. One recent surprise that could leave your facility vulnerable is the approval of

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Surgeon pointing at spine x-ray

Vertebroplasty and Kyphoplasty – What’s the Difference?

When it comes to pain management procedures, we often think of steroid injections, nerve blocks or other similar procedures (fun fact: watch out for numerous changes to these services in 2020) – but what about other types of pain management procedures? There’s an array of services provided to patients all

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Woman doctor removing sterile surgical tools from the package

FNA biopsy: 10 things to know about the new codes

With recent significant changes in the fine needle aspiration (FNA) biopsy code family, let’s review a few key takeaways. Prior to this year, there were two CPT® codes describing FNA biopsy: 10021 (fine needle aspiration; without imaging guidance) and 10022 (fine needle aspiration; with imaging guidance). These codes were fairly

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Woman receiving an ultrasound facial in a beauty salon

Ultrasound Guidance for Vascular Access: Can I Charge for That?

+76937 Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent real-time ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure) Ultrasound guidance is often used to locate and gain entry

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Abstract organic background with veins

Arch, Carotid and Vertebral Angiography: A Quick Review

The concept behind bundled codes is not new to anyone familiar with coding for interventional radiology procedures, and it’s no surprise that complete codes (including catheterization and imaging) exist for arch, carotid and vertebral angiography–CPT® codes 36221-36228. Like other code sets, these codes are built on a hierarchy, meaning the

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Group of doctors on conference, medical team sitting and listening

Biliary Drainage – Exchanges, Conversions, Stents

As with most IR procedures, one of the primary issues faced when it comes to coding remains the inconsistent language in reports. Procedures can be described in a multitude of ways adding complexity and confusion to the process. Even though they may be performing the same procedure, physicians don’t (typically)

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Group of doctors looking at the results of the radiology

10 Things You Need to Know About Dialysis Circuit Add-on Codes

The arteriovenous (AV) dialysis circuit is designed for repetitive access to perform hemodialysis. Patients on long-term dialysis will usually have an AV fistula (created by directly connecting a native vein to a native artery) or an AV graft (created by using an artificial tube attached on one end to a

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