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pta

Janice Posted Fri 18th of August, 2017 16:03:11 PM
i know cath placements are included with 35471-35475 but can i bill for an bilateral abd angio and code 75630, 36245 if they put in the notes findings???
SuperCoder Answered Mon 21st of August, 2017 02:31:50 AM

HELLO

The above documentation is not providing enough information to tell you the exact CPT codes.

In order to report radiological supervision and intervention with CPT code 36245 {Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family}, we can use CPT code 75630 {Aortography abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation} which is an abdominal aortogram with runoff in which a catheter is placed in the abdominal aorta through an artery. Contrast medium is injected through the catheter for imaging and interpretation. The contrast flows from the abdominal aorta to the arteries of bilateral, lower extremities.

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Janice Posted Mon 21st of August, 2017 15:45:47 PM
im sorry i guess my questions is can i bill for cath placement with 35471-35475
SuperCoder Answered Tue 22nd of August, 2017 03:47:46 AM

HELLO

Firstly, CPT codes 35471-35475 are deleted codes, you need to use appropriate new CPT codes for catheter placement. Now, considering you are performing procedures on first order arterial system, then you can report CPT code 36245 {Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family} as well as CPT code 75630 {Aortography abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation} along with the angioplasty procedure codes.

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Janice Posted Tue 22nd of August, 2017 12:54:51 PM
omg im sorry i meant 37220-37227 about cath placements sorry
SuperCoder Answered Wed 23rd of August, 2017 01:39:55 AM

HELLO

CPT codes 37220 to 37227 are lower extremity endovascular revascularization codes and include the work of accessing and selectively catheterizing the vessel, traversing the lesion, radiological supervision and interpretation directly related to the intervention(s) performed, embolic protection if used, closure of the arteriotomy by pressure and application of an arterial closure device or standard closure of the puncture by suture, and imaging performed to document completion of the intervention in addition to the intervention(s) performed.

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