General Question for the Week of September 11, 2023
Bryan Nordley
September 11, 2023
What is meant by a “port” in central venous access procedures?
What is meant by a “port” in central venous access procedures?
Abdominal interventional radiology coding is an area that poses risks for many coders, compliance professionals, and facilities across the nation. Coders face strong undercurrents of
What is portography?
If the intent of the procedure is to place a PICC line but this cannot be done, and the catheter is advanced only into a peripheral vein can this be coded as a PICC with a -52 modifier?
If the documentation states a core biopsy of the disc space, would we still use 62267?
Upper extremity interventional radiology coding can be a sinking area of challenge for coders and professionals alike with a quicksand of complexities that may leave
Interventional radiology coding can present significant challenges for coders and compliance professionals alike. One area that our experts identified as significantly complex and worthy of
Regarding pulmonary angiography coding, when a catheter is placed in the main pulmonary artery and an angiogram was performed with findings, we know this is considered nonselective. However, when a catheter was selected into RT and LT pulmonary arteries but no angiogram was performed before a thrombectomy was performed, what is the coding here? Should we code 75746, 36014RT, and 36014LT, or do we change 75746 to 75743 since they went selectively into RT and LT pulmonary arteries? Please clarify.
We have been following the instruction that 75774 only applies to subselective ARTERIAL studies; however, CPT® Assistant September 2022 states “If venography is performed in a main vessel and then a selective venogram is performed, report code 75774 in addition to the venography code for the initial vessel. Can you please clarify any current instructions?
What type of bill must be assigned for screening mammograms?
For the pulmonary angio codes, if the RHC is done in the cath lab but the pulmonary angiogram is done in IR which codes would be used where?
Is your facility experiencing the pain of IR coding obstacles? Coding for interventional radiology can be a quicksand pool of complications for many coders, especially
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