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multiple procedures

Kim Posted Mon 16th of June, 2014 10:41:46 AM

Our doctor did 1) left heart cath, 2) right heart cath, 3) left coronary angiography, 4) vein graft angiography, 5) left subclavian angiography, 6) abdominal aortography, suprarenal 7) left iliac angiography, 8) selective renal angiography. We are going to bill codes: 93459-26, 75630-26, and 36245. Are these the correct codes to bill? This is new billing for us so we are not sure how to bill for these procedures.

SuperCoder Answered Wed 18th of June, 2014 14:08:41 PM

Please find below code explanation, for the given scenario:

- Report 93461 instead of 93459 as right heart catheterization is also performed which is not the covered in 93459.
- Left coronary artery angiography and vein graft angiography is not separately reportable as it is covered in 93461.
- 36251 for selective renal angiography.
- 36245 is not reportable.
- 75630-59 for abdominal aortography, suprarenal and left iliac angiography.
In addition 36225 is also codable in this case if “selective” subclavian angiography is clearly documented. Reporting of 36225 will be depending on the documentation provided please check carefully.

Final code set will be:
75630-26, 59
If documentation provided then 36225 for selective subclavian angiography (it will be first listed code as it is code with highest RVU)

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