Interventional Radiology: Sharpen Your Component Coding Skills With This Case Study
- Published on Thu, May 08, 2008
Put your first- and second-order know-how to the testCPT may be adding more all-inclusive codes every year -- covering a procedure and guidance in a single code -- but capturing every element of an interventional procedure still takes some serious sleuthing.Work your way through this real report and determine which CPT codes you would use. Then check your answers below.Review Selective Catheterization RulesYou have to work your way through the report's first few sentences to find the first reportable code. You should submit 36246 (Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family) to reflect the left internal iliac artery subselection, says Cheryl Scott, CPC, CPC-H, CCS, CCS-P, with HealthTexas in Dallas. (Figure 1 on page 59 shows the anatomy involved.)Reason: You should choose second-order code 36246 because the first-order artery is the common iliac, says Kim French, CIC, director [...]
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