In-depth help with cardiac cath and interventional coding, peripheral procedural coding including carotids, lower extremities, renal, visceral and more
The combining of peripheral procedures into cardiac cath labs has created challenges for coders. Do you struggle pinpointing the key words and phrases in already highly complex documentation? Is there consistency in your procedural reports, or do they vary from physician to physician?
Is there confusion about modifiers based on location (POS) or encounter status of the patient? If you answered “yes” to either of these questions, MedLearn Publishing’s Peripheral & Cardiology Coder book supports your coding accuracy and, ultimately, your revenue stream.
Count on the experts behind this popular, practical resource to explain, step by step, how procedures are performed, the subtle differences between “like” procedures. The Peripheral & Cardiology Coder will also guide you on how to zero in on key words, acronyms, and phrases in the physician documentation to arrive at the correct CPT® codes.
With enhanced knowledge, skills, and confidence, you will quickly and correctly arrive at the right code choices that support your ability to consistently report a clean claim for maximized reimbursement.
Features and Benefits
Our experts address recent changes, plus common questions, concerns and problem areas:
- Coverage of the latest code changes for reporting peripheral (non-coronary) and cardiology procedures
- Address confusion over the coding and documentation of peripheral procedures involving lower and upper extremities, abdominal (aortography and selective renal and visceral) and carotids; includes detailed narratives and case studies to address proper code selection from real-life scenarios
- Address modifiers for both cardiac cath, percutaneous coronary interventions (PCI) and peripheral procedures as your key to proper reimbursement
- Special help with the rules for coding and documenting peripheral imaging and interventions, when allowed at the same encounter — an area being embraced by more and more cath labs
- Answers to many frequently asked questions, such as “How do we bill for a diagnostic coronary cath in addition to a PCI?” and “Can I code/report a catheter placement with the peripheral interventional procedures?”
Clear, step-by-step guidance through the tasks you perform every day:
- Coding for diagnostic and interventional cardiac catheterization and peripheral procedures (lower extremity, upper extremity, lower extremity veins, abdominal, renal, head/neck), as well as diagnostic cardiology and noninvasive vascular procedures
- Covers code assignments by both hospital (technical) OPPS and physician (professional) entities
- Meeting documentation requirements to support medical necessity and code assignments
A proven quick-reference approach for busy professionals:
- Codes are grouped for fast navigation: by body system (e.g., head and neck) and then by CPT® code sequence
- Each section includes but is not limited to general coding guidelines; tables with CPT/HCPCS codes, modifier information, RVUs and hospital OPPS payment rates; definition of each procedure with its corresponding CPT code; and billing tips
- Case studies, with insightful commentary throughout the book, as well as full dictated reports, featuring highlighted key phrases, at the end of each chapter, to reinforce the rationale behind code assignments
- Anatomical illustrations for visual representations of common and complex procedures
Looking for more valuable coding education and news? Check out our new Comprehensive Cardiology All-Access Pass.
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For certain MedLearn Publishing publications, you will see an ‘AMA Royalty Fee’ in your shopping cart. This charge covers the licensing fee MedLearn Publishing pays to the American Medical Association (AMA) for references to CPT® codes. The AMA owns the copyright for CPT codes.
*All-Access Pass subscribers receive 30% off the print version of the books included with their membership. This 30% does not include AMA fees or shipping and handling fees. For questions please email us.
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Introduction
Moderate (Conscious) Sedation
Cardiac Catheterization
Right Heart Catheterization
Right Heart Catheterization with Coronary Angiography
Right Heart Catheterization with Coronary and Bypass Graft Angiography (including SVG and IMA)
Left Heart Catheterization
Left Heart Catheterization With or Without Left Ventriculogram
Left Heart Catheterization With or Without Left Ventriculography and Coronary Angiography
Left Heart Catheterization With or Without Left Ventriculography,
Coronary Angiography and Bypass Graft Angiography (Including SVG and/or IMA)
Right and Left Heart Catheterization
Right and Left Heart Catheterization With or Without Left Ventriculography
Right and Left Heart Catheterization With or Without Left Ventriculography and Coronary Angiography
Right and Left Heart Catheterization With or Without Left Ventriculography, Coronary Angiography and Bypass (Including SVG and/or IMA) Angiography
Coronary and/or Bypass Graft Angiography (including SVG and/or IMA) Performed Without Concomitant Left Heart Catheterization Procedure
Coronary and Bypass Graft (including SVG and/or IMA) Angiography Without Concomitant Left Heart Catheterization
Congenital Heart Catheterization
New Directives for Congenital Catheterization
New 2022 Congenital Cardiac Catheterization Codes
Injection Procedures for Non-Congenital and Congenital Cardiac Catheterization
Intravascular Doppler Flow Reserve Measurement
Swan-Ganz Placement
Physiologic Exercise Study
Intravascular Doppler Flow Reserve Measurement
Renal Artery Angiography (Non-Selective) During Cardiac Catheterization
Iliac and/or Femoral Artery Angiography (Non-Selective) During Cardiac Catheterization
Vascular Closure Devices
Low Osmolar Contrast Media/Non-Ionic Contrast
Ambulatory Blood Pressure Monitoring
Cardiopulmonary Resuscitation
Typical Cardiac Catheterization Procedures and Codes
Coronary Interventions: Stenting, Angioplasty and Atherectomy of Major Coronary Arteries, Coronary Artery Branches and Bypass Grafts
Coronary Interventions
- Percutaneous Transluminal Coronary Angioplasty
- Percutaneous Transluminal Coronary Atherectomy
- Intracoronary Stent Placement (Bare Metal or Drug-Eluting)
- Combination (Multiple Interventions) Codes
- Interventions Within Bypass Graft or Through Graft
- Interventions for Acute Total/Subtotal Occlusion During Myocardial Infarction (MI)
- Interventions for Chronic Total Occlusion (CTO)
- Modifier Assignment
- Coding Examples
- Valvuloplasty
- Pulmonary Artery Angioplasty
- T-Wave Alternans
- Aortic Valve Procedures (TAVR/TAVI)
- TAVR/TAVI with Bypass Support
- Cardiac Assist—Intra-Aortic Balloon Assist/Intra-Aortic Balloon Pump (IABP)
- Transcatheter Mitral and Tricuspid Valve Procedures
- Coronary Thrombectomy and Intravascular Brachytherapy
- Endoluminal Imaging of Intracoronary Vessel or Graft
- Repair of Septal Defect
- Repair of Structural Heart Defect (Transcatheter Closure of Paravalvular Leak)
- Intravascular Catheter-Based Coronary Vessel or Graft Spectroscopy
- Transcatheter Vegetation Removal
- Percutaneous Transcatheter Closure of the Left Atrial Appendage
- Wireless Pressure Sensor Implantation
- Coronary Interventional Procedures and Codes
Noninvasive Vascular Diagnostic Studies
- General Guidelines
- Required Documentation for Duplex Studies
- Extremity Arterial Studies (Including Digits)
- Extremity Venous Studies (Including Digits)
Echocardiography: Fetal and Non-Fetal
- Fetal Echocardiography
- Non-Fetal Echocardiography
Cardiovascular Stress Tests/Exercise Stress Tests
Cardiovascular Illustrations and Guidelines
Frequently Asked Questions Related to Cardiac Catheterization Coding
Selective Catheter Coding (Non-Cardiac Procedures)
Component Coding
- Vascular Family
- Catheter Placements
Transcatheter Therapy Rules
Angiographic Radiology of the Head, Neck and Chest
Interventional Radiology of the Head, Neck and Chest
Angiographic Radiology of the Abdomen
Renal Angiography
Interventional Radiology of the Abdomen
Angiographic Radiology of the Upper Extremities
Interventional Radiology of the Upper Extremities
Angiographic Radiology of the Lower Extremities
Interventional Radiology of the Lower Extremities
- Coding Tips—Angioplasty, Stenting, Atherectomy
- Coding Tips—Thrombectomy and Thrombolysis
- Coding Tips—Lower Extremity Incompetent Veins
Case Studies
Appendix A
2022 Medicare Payment Rates
MPFS Status Codes
Hospital OPPS Status Indicators
Appendix B
Modifiers
- CPT Modifiers
- HCPCS Level II Modifiers
References
