ZHealth News

ZHealth Coding Newsletter - April 2016

Apr 25, 2016 2:20:00 PM

April 2016 Q & A

Question: Popliteal Aneurysm

We are looking for a code for popliteal aneurysm (37236?). This is what one of our physicians said: "34900 code is an aneurysm procedure code, and although specifies iliac it is far more reflective of the procedure type and work, including large sheath placement that is involved with popliteal aneurysm repair. In fact the 2 procedures are almost identical except one is done at a more distal location." What code do you suggest we use for popliteal aneurysm and why?

Read More
Posted in Free Newsletters By Sondra Dunn

CPT® 2016: Urinary Interventional Coding

Part 1: Understand what changes affect percutaneous urinary interventional coding.

For 2016, the biggest CPT® coding changes affecting interventional radiology occur within the subspecialties of urinary, biliary, and
neurologic intervention. This month, let’s focus on percutaneous urinary interventional coding, and in upcoming articles we’ll cover biliary and neurologic intervention codes.

Read the whole article.

Read More
Posted in Free Newsletters By Sondra Dunn

ZHealth Coding Newsletter - March 2016

Mar 30, 2016 2:20:00 PM

March 2016 Q & A

Question: Angioplasty or Primary Thrombectomy with No Stenosis Documented

Patient is on Day 2 of lower extremity arterial thrombolysis with EKOS catheter. The patient was placed on the angio table and the catheter was injected showing significant residual heavy clot burden. The physician ballooned the thrombus in the anterior tibial, posterior tibial and peroneal arteries with a 3mm balloon, then used an aspiration catheter in each vessel post ballooning due to loose clot seen within these vessels. There is no physician documentation of any underlying anatomical stenosis in these vessels. Thrombolysis was restarted with the EKOS catheter and sent to the floor for overnight monitoring. On Day 3, the patient is brought back for AngioJet thrombectomy, repeat ballooning of the peroneal along with thrombolytic spray through the AngioJet for 20 min. This is repeated in the posterior tibial artery. Follow-up angiography demonstrates a flow limiting dissection requiring stent placement.

Day 2 was coded as ...

Read More
Posted in Free Newsletters By Sondra Dunn

February 2016 Q & A

Question: Vasospasm

Six vessel diagnostic cerebral exam performed. Decision made to treat vasospasm of RICA & LICA. Discussion is whether or not the catheter selections for the bilateral ECA vessel selections are still chargeable since the catheter selections of the RICA & LICA are bundled into 61650. I don't feel they are since they are add on codes to 36224, bilateral in this case.
Read More
Posted in Free Newsletters By Sondra Dunn

January 2016 Q & A

Question: 50435 and 50693

I have a doctor that did a left nephrostogram, ureteral stent insertion and a nephrostomy tube exchange at the same setting. With the new 2016 codes, there is no scenario with a pre existing nephrostomy tract tube exchange and a placement of ureteral stent. I am getting a CCI edit for 50435 saying it shouldn't be billed with 50693. Am I missing something, or misinterpreting something? Would you bill 50693, 50435-XU? Payer is Medicare.
Read More
Posted in Free Newsletters By Sondra Dunn

2016 NCCI Revision Announcement

Jan 13, 2016 12:01:28 AM

NCCI Edit Manual Revised in 2016 to Allow Billing Mammography Post Breast Intervention Performed with Stereotactic Guidance.

Read More
Posted in News By Sondra Dunn

December 2015 Q & A

Question: WPS and Popliteal Aneurysm

With the new LCD for ICD-10, popliteal aneurysm I72.4 is not covered for 37236. It also is not covered for 37226. What do you recommend if a patient has a popliteal aneurysm and is MCR or MCR replacement in our area? The particular patient I have now is having thrombosis due to the aneurysm, but by coding guidelines it would be covered for intent, which is the aneurysm. The thrombosis is covered under 37226 if it is okay to code for thrombosis and not aneurysm. We do these all the time, this is just the first one that came up since ICD-10 and I need to be able to educate my physicians on coverage.
Read More
Posted in Free Newsletters By Sondra Dunn

Job Posting

Dec 31, 2015 2:04:37 AM

ADVOCATE, a growing Fortune 5000 healthcare medical billing company, is looking for an Interventional Radiology Medical Coder and an Oncology Coder.

ADVOCATE Radiology Billing & Reimbursement Specialists is an innovative leader in the national radiology reimbursement and management sector of healthcare. We contribute outstanding technical insight with client-friendly services to help our clients achieve optimal top line revenue performance. Visit www.radadvocate.com for more information.

Read More
Posted in News By Sondra Dunn

November 2015 Q & A

Question: Upgrade from Dual Pacemaker to BiV AICD

The upgrade to a biV AICD from a dual pacer leads me to CPT codes 33230, 33233, and 33225. But this scenario is very confusing because the descriptor for 33230 says "with existing dual leads", so should I use 33231 because now with the addition of the LV lead that was implanted along with the BiV generator,  I have 3 total leads?

 

Read More
Posted in Free Newsletters By Sondra Dunn

October 2015 Q & A

Question: When do you use 75630 vs 75625

I am completely confused on Abdominal Aortic imaging. Does CPT code 75625 require 2 catheter placements or not? For example, physician places a catheter in the abdominal aorta near the renal arteries and performs abdominal aortography, also documents bilateral pelvic and common femoral artery imaging. The physician then moves the catheter to the SFA and completes the angiography with chase bolus runoff to the foot on the left. Is this coded as 36247, 75625, 75716 or is it 36247, 75630?

Read More
Posted in Free Newsletters By Sondra Dunn

Items 21 to 30 of 82 total

Page:
  1. 1
  2. 2
  3. 3
  4. 4
  5. 5
Set Descending Direction