ZHealth News

October 2017 Q & A

Question: Can you bill 61635 and 61624 for the stent assisted coiling?

Diagnostic cerebral angiogram and stent-assisted coiling. Subsequently the stent was placed and unsheathed through the supraclinoid and ophthalmic segment of the ICA. DSA in AP and lateral views demonstrated optimal wall apposition. At that time the coil was introduced completely into the aneurysmal dome. Under new roadmapping a 5 x 15 hydroframe coil was introduced into the dome.

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Posted in Free Newsletters By Sondra Dunn

ZHealth Coding Newsletter - June 2017

Jun 29, 2017 2:22:00 AM

June 2017 Q & A

Question: Coarctation of Aorta and Bicuspid Aorta Valve

I have a provider that is is trying to tell us that if a patient has a coarctation of the aorta and a bicuspid valve then we need to bill the congenital CPT codes. I noticed that you answered a similar question in March, but I was wondering where you got your information so I can provide that information to my provider.

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Posted in Free Newsletters By Sondra Dunn

ZHealth Coding Newsletter - June 2016

Jun 26, 2016 2:20:00 PM

June 2016 Q & A

Question: Upper Extremity Angiography with Thoracic Aortography

Using direct ultrasound guidance, the right common femoral artery was accessed with a micropuncture needle. Through this access, a 5 French sheath was placed. A flush catheter was advanced into the ascending thoracic aorta. Aortography was performed. 5 French catheter and wire were advanced into the left subclavian artery. Arteriography was performed. There was poor visualization of the arteries beyond the fistula anastomosis. 36215-59 for subclavian, 36221 for thoracic aortogram?
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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?

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Posted in Free Newsletters By Sondra Dunn

ZHealth Coding Newsletter - April 2014

Apr 30, 2014 5:58:00 PM

Q & A with Dr. David Zielske

Question: WADA Testing

I need help coding a portion of a case, super-selective WADA testing of anterior spinal artery using sodium Amytal and lidocaine with SSEP and neuralphysiological monitoring. Microcath was passed into the anterior spinal artery to a point just proximal to the AV fistula. First testing was performed with the infusion of 25 mg of sodium Amytal from this site. Monitoring did not show any evidence of changes in the lower extremity or anal sphincter monitoring.

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Posted in Free Newsletters By Sondra Dunn

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