ZHealth News

September 2015 Q & A

Question: 36228 with Pipeline Embolization

Following diagnostic cerebral angiogram with bilateral internal carotid artery catheter and 3D angiogram requiring separate work station, angle projections for treatment of the cavernous segment of the right internal carotid artery aneurysm were obtained. Navien catheter was positioned within the intracranial segment of the right internal carotid artery, and Marksman catheter was navigated into the right middle cerebral artery. Then pipeline embolization was done on the right cavernous carotid segment. At the completion of the coiling procedure, cerebral angiogram was performed via the right internal carotid artery. Besides 36224-50, can I add 36228 in this case even though the embolization was at cavernous carotid? I also coded 61624, 75894, 75898, and 76377. Are these the right codes for this case?

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Posted in Free Newsletters By Sondra Dunn

ZHealth Coding Newsletter - August 2015

Aug 20, 2015 2:20:44 PM

August 2015 Q & A

Question: Arterial Graft Segment on Dialysis Graft

What would the "arterial graft segment" be considered for a dialysis graft? Is this like the "arterial limb”, and is it considered venous for interventional purposes since it does not state it incorporates the arterial anastomosis?

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Posted in Free Newsletters By Sondra Dunn

ZHealth Coding Newsletter - July 2015

Jul 28, 2015 1:20:00 PM

July 2015 Q & A

Question: 2 Infusion Catheters, 2 Graft Punctures for Access of the Same Leg

The patient has a left femoral to below-knee popliteal artery bypass graft and a left abandoned bypass graft. A micropuncture needle was advanced in a midline retrograde fashion and a sheath placed. A pelvic angiogram shows occlusion of the bypass graft and a 10 cm infusion Cragg-McNamara infusion catheter is placed and positioned across the proximal arterial anastomosis. Then under direct ultrasound guidance, a micropuncture needle was advanced into the proximal graft in an antegrade fashion, then a sheath was placed, followed by lower extremity angiography.

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Posted in Free Newsletters By Sondra Dunn

Job Posting

Jul 2, 2015 11:59:41 AM

ADVOCATE Radiology Billing & Reimbursement Specialists is an innovative leader in the national radiology reimbursement and management sector of the US healthcare industry. Through our integrated family of solutions, 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. 

Location: Clarksville, TN and Powell, Ohio (Possible Remote Position) 

If you are interested, please send your resume to amy.shears@radadvocate.com

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Posted in News By Charlene Kennedy

ZHealth Coding Newsletter - June 2015

Jun 13, 2015 7:58:00 AM

June 2015 Q & A

Question: Balloon Dilatation and Stenting of Intrathoracic Innominate Artery

The doctor would like to charge 36217, 37218, 75710-26 for this procedure: 1. Right femoral artery cannulated in retrograde fashion. 2. Catheter into orgin of the innominate. 3. Then catheter passed selectively into the origin of the common carotid artery. 4. Then catheter selective out into the subclavian and selctive angiography was performed and confirmed subclavian widely patent. 5. Balloon dilatation performed and did not get good result. 6. Stent placed over ostial and proximal portion of innominate artery.

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Posted in Free Newsletters By Sondra Dunn

Job Posting

May 18, 2015 9:30:57 AM

POSITION AVAILABLE

Full-time coder position - remote
Centennial Heart Cardiovascular Consultants
Please contact: Tammy Edmondson, Coding Practice Manager at tammy.edmondson@hcahealthcare.com
615-515-1983

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Posted in News By Sondra Dunn

ZHealth Coding Newsletter - May 2015

May 15, 2015 7:58:00 AM

May 2015 Q & A

Question: Coding Both Bone Marrow Aspiration and Bone Marrow Core Biopsy

According to the AMA’s CPT Assistant March 2015, when both bone marrow aspiration and bone marrow biopsy of the same site are performed, we can code both 38221 and 38220. Since there is a NCCI edit between the two codes, can we use modifier -59 to override this edit? Please clarify. Thanks.

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Posted in Free Newsletters By Sondra Dunn

Job Posting

Apr 24, 2015 12:58:44 PM

POSITION AVAILABLE

Nashville, TN

Full-time coder needed for busy cardiology physician practice in Nashville, TN. Interested parties should contact Angela Whitfield at (615) 406-6305. 

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Posted in News By Morgan Teveit

ZHealth Coding Newsletter - April 2015

Apr 13, 2015 7:58:00 AM

April 2015 Q & A

Question: Pre-Procedure SIRTeX GDA Embolization with Angiograms

We routinely perform pre-procedure embolization and roadmapping prior to the SIRTeX procedure. When the GDA is embolized we are using CPT code 37242 for the embolization. Can we bill the pre-procedure roadmapping for the SIRTeX at the same time as the GDA embolization? From report: IMPRESSION: Arterial mapping and coil embolization as described above for preprocedure SIRTeX SIR-Spheres selective internal radiation therapy (SIRT).

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Posted in Free Newsletters By Sondra Dunn

New C-code Effective April 1st (C2623)

Mar 18, 2015 3:51:48 PM

New HCPCS code C2623, Catheter, transluminal angioplasty, drug-coated, non-laser, will be effective April 1, 2015.

Code C2623 is a “pass-through” code and will receive additional payment from Medicare when billed. Hospital charge description masters should be updated with this code on April 1, 2015. These catheters can cost over $2,000, so it is important for the facility to receive the additional reimbursement when these specialty catheters are used.

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Posted in News By Sondra Dunn

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