ZHealth News

NCCI Changes On July 1, 2016

Jul 5, 2016 6:09:00 AM

National Correct Coding Initiative (NCCI) Changes On July 1, 2016

We’ve just entered a new calendar quarter, so the NCCI edits are revised.

There are numerous changes, which we’ve posted for members under the 'Newsletters' section. Here are some examples:

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Posted in Free Newsletters By Sondra Dunn

CPT® 2016: Neuro-interventional Coding

Jun 30, 2016 6:09:00 AM

CPT® 2016: Neuro-interventional Coding

Part 3: Understand the changes affecting neuro-interventional procedures.

For 2016, the biggest CPT® coding changes affecting interventional radiology occur within the subspecialties of urinary, biliary, and
neurologic intervention. In March, we covered urinary intervention and in April we covered percutaneous biliary interventional coding. This month, we’ll finish our series by focusing on transcatheter neuro-interventions and describing three new codes for 2016.

Read the whole article.

Originally presented in "Healthcare Business Monthly".

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Posted in Free Newsletters By Sondra Dunn

CPT® 2016: Percutaneous Biliary Interventional Coding

Part 2: New codes change the way you should report these procedures.

For 2016, the biggest CPT® coding changes affecting interventional radiology occur within the subspecialties of urinary, biliary, and neurologic intervention. Last month, we covered urinary intervention. This month, we’ll discuss the major changes in percutaneous biliary interventional coding. Next month, we’ll cover CPT® updates for percutaneous neurologic intervention.

Read the whole article.

Originally presented in "Healthcare Business Monthly".

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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.

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Posted in Free Newsletters 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?

 

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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

February 2015 Q & A

Question: Heart Transplant - Congenital Versus Non-congenital

There has been much back and forth over the years as to whether or not congenital heart transplant patients should continue to be reported as congenital for heart catheterization coding purposes. Physicians state that “once congenital always congenital”, but I've understood from consultant recommendations that unless the new heart has a congenital defect or complex rerouting of vessels due to congenital cardiac anatomy, then all heart caths for transplant patients are coded as non-congenital. Can you please clarify?

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Posted in Free Newsletters By Sondra Dunn

October 2014 Q & A

Question: Venous Stent Placement During Thrombolytic Therapy

In the 2014 Interventional Radiology Coding Reference, page 196 example #2, there is a thrombolytic therapy procedure that ends with a venous stent placement. The venous stenting codes do not include the catheter placement, and according to the CPT manual, you should report those in addition to the stents (37238-37229). The example only has the 37238 and does not list a catheter placement CPT code. The thrombolytic catheter is removed and a new catheter for the stent placement is inserted. Other coding references have stated that if a new catheter is placed even from the same access, you would report the catheter placement for the intervention. Wouldn’t you report the venous catheter placement in this example? And if so, what code would you use?

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Posted in Free Newsletters By Sondra Dunn

ZHealth Coding Newsletter - July 2014

Jul 17, 2014 5:58:00 PM

July 2014 Q & A

Question: AV Fistula Arterial Angioplasty with Venous Stent

I was wondering what the coding protocol would be when we angioplasty the arterial anastomosis and place a stent in the graft venous outflow. Would one procedure override the other, as arterial angioplasty would be...

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Posted in Free Newsletters By Sondra Dunn

ZHealth Coding Newsletter - June 2014

Jun 23, 2014 5:58:00 PM

June 2014 Q & A

Question: Sphenopalatine Artery Catheterization

How would I code the following? Specifically, the catheterizations of the sphenopalatine arteries. Would you only code based on the angiograms that were performed?

Catheterization of the following vessels : 1. Left common carotid artery...

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Posted in Free Newsletters By Sondra Dunn

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