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LHC and Bilat selective renal angiography with PTA & Stent of Renal Artery

Annmarie Posted Mon 17th of December, 2012 16:42:48 PM

would it be proper coding this as: 93458-26,36252-26,37205,75960-26,35471-50,75966-2659?

SuperCoder Answered Tue 18th of December, 2012 16:43:51 PM

Since you mention only LHC (not LHC with coronary angiography), review the documentation to see whether 93458-26 or 93452-26 would be more appropriate.

Since you specify selective bilateral renal angiography, 36252 (without mod 26) would be appropriate (as opposed to G0275 for nonselective).

Coding for PTA and stent will depend on documentation. The usual rule for renal arteries is that the doctor knows he’s going to place a stent if the lesion is in the ostium (origin) of the renal artery. Angioplasty is expected to fail in the renal ostium. So if the physician knows he’s going to place a stent, you shouldn’t report the angioplasty separately. Confirm whether the renal stent placement was unilateral or bilateral before choosing the final codes.

Annmarie Posted Wed 19th of December, 2012 14:25:05 PM

thank you!

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