Selective Catheterization Coding (CPT code 36251,36252,36253 & 36254)

Procedure performed for Renal Artery Catheterization The physician first takes the access into the skin through an underlying artery of lower extremity and introduce a guidewire through the needle. The wire is threaded into the main renal artery or any branch of renal artery. A catheter is introduced through the guidewire and then the contrast material in injected for arteriography. Images are obtained once the contrast is injected.  CPT code 36251, 36252, 36253 and 36254 are used for coding selective catheter placement in renal artery and its branches. In this…

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Coding tricks for CPT code 47531, 47537, 43738, 43739, 43740, 43741 & +43742

Coding tricks for CPT code 47531, 47537, 43738, 43739, 43740, 43741 & +43742

When to use 47531 and 47532 A radiographic medium is injected into the common bile duct, gallbladder, and/or liver for diagnostic purposes. The physician inserts a needle between the ribs into the lumen of the common bile duct and checks positioning by aspiration. Radiographic dye is injected. The needle is removed. This procedure includes imaging guidance and all radiological supervision and interpretation. CPT code 47531 is reported when the service is performed through an existing access, such as a T-tube. CPT code 47532 is reported when the service is performed…

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Coding tips for CPT code 36902, 36903, 36904, 36905 and 36906

Basics of CPT code 36902, 36903, 36904, 36905, 36906 Today we will learn about CPT codes for angioplasty, stent and thrombectomy which includes diagnostic angiography and RS&I like other existing angioplasty procedure codes.  CPT code 36902, 36903, 36904, 36905, 36906 and the add-on CPT code +36907, +36908, +36909, these codes have bundled lot of minor procedures like catheter placement, radiological S&I, contrast injection etc.   So, let us check more about these CPT codes in details This post will help to get more knowledge about coding complex percutaneous procedure. Having a…

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Superb Guide for Abdominal Aortogram with runoff CPT code

Abdominal Aortogram with runoff cpt code

Basic about Abdominal aortogram CPT code 75630 & 75625 In interventional radiology coding, the main procedure is sometimes easy to code as compared to supervision and interpretation cpt code. Vascular procedure coding depends on selective and non-selective catheterization while studying arteries. Coding for vascular catherization procedures is based on the selection of the first, second or third order arteries. Hence, here if you have vascular family (Appendix L) chart in CPT code book, you can easily find the correct code for catheter access. Abdominal aortography CPT ( 75625 & 75630)…

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Sample Nephroureteral Catheter Placement Report for Medical coders

Sample Nephroureteral Catheter Placement Report for Medical coders

Report 1 BILATERAL NEPHROSTOGRAMS PLACEMENT OF NEPHROURETERAL CATHETERS MODERATE CONSCIOUS SEDATION, FLUOROSCOPY CAN ULTRASOUND GUIDANCE AND UTILIZATION OF A STERILE SURGICAL TRAY.: INDICATION: Bilateral nephrolithiasis TECHNIQUE: Ultrasound and fluoroscopy guidance, fluoroscopy time is 14.7 minutes COMPARISON: None. FINDINGS: Having obtained informed consent prepping and draping the flanks in the usual aseptic fashion 1% lidocaine was utilized for local infiltration. Access to the lower pole collecting system of the left kidney is obtained utilizing ultrasound guidance an AccuStick system. Wire and catheter advanced into the collecting system of the left kidney…

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CPT code 76942: Ultrasonic guidance Needle Placement NonVascular

Common mistakes with CPT code 76942

CPT code 76942 is an diagnostic ultrasonic guidance code for needle placement. This code is used mostly for the percutaneous procedures. Percutaneous surgeries are same day surgery procedure and minimal invasive procedures. These procedures are performed through the skin percutaneously. Hence, guidance is always required for the procedure cpt code. Like Procedure code 76942, there are the other type of guidance as well depending on the type of guidance is used. For fluoroscopic guidance, we have 77001, 77002 and 77003 CPT code and depending on the kind of the procedure,…

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CPT code 20610, 20605, 20600: Arthrocentesis Coding tips

Tricks to code Cpt code for Arthrocentesis

Basics of Cpt code 20610, 20604, 20605, 20606, 20600 and 20611 Arthrocentesis, aspiration, and/or injection of a joint or bursa is performed. Arthrocentesis and aspiration is performed to remove fluid from a joint or bursa in order to diagnose the cause of joint effusion and/or to reduce pain caused by the excess fluid. Injection of a joint or bursa may be performed in conjunctionwith the arthrocentesis procedure and is typically performed using an anti-inflammatory medication such as a steroid to reduce inflammation of the joint or bursa. The skin over…

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CPT code for bone marrow biopsy & aspiration Coding guide

Cpt code for bone marrow biopsy and aspiration

Procedure performed for Cpt code bone marrow biopsy & aspiration A bone biopsy is a procedure to obtain sample bone tissue to further analyze a suspected medical condition or infection. Cpt code for bone marrow biopsy and aspiration is coded frequently in coding biopsy charts. After administration of adequate anesthesia, the operative area is prepped and draped. The physician examines the area to be biopsied. Using a scalpel a small percutaneous incision is made over the targeted area. A large diameter biopsy needle or bone trocar is advanced through the…

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Cpt code (36901) for Fistulogram: Coding Guide

Basics for Cpt code for Fistulogram An abnormal connection between artery and vein is called as arteriovenous fistula. Generally, it is created for hemodialysis treatment. AV fistula is very important in medical coding. Medical coders have to know everything about AV fistula before coding CPT code for fistulogram or AV fistula. Cpt Code for fistulogram is used very frequently and it has high dollar value. Hence, coders have to code CPT codes of fistula very carefully. Let us learn more about fistulogram or AV fistula or shunt. CPT code for…

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Best Coding tips for CPT code 36569

Best Coding tips for CPT code 36569

Basics of CPT code 36569 A central venous catheter, also called a central line, is a long, thin, flexible tube used to give medicines, fluids, nutrients, or blood products over a long period of time, usually several weeks or more. In this procedures, a catheter is often inserted in the arm or chest through the skin into a large vein. The catheter is threaded through this vein until it reaches a large vein near the heart. Their are separate procedure codes like CPT code 36569 used for coding central line…

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