kim. Posted Tue 03rd of February, 2015 12:47:11 PM
A referring Dr ordered a Shunt Series to evaluate the continuity of the shunt in the head, neck and abdomen. The x-ray report read:
"Reason for exam: Evaluate VP shunt catheter.
AP views of the head and neck, chest, abdomen and pelvis were obtained. Lateral views of the head and neck were obtained. This study is compared to a prior examination dated 4 April 2014.
The VP shunt catheter is intact throughout its length. It enters the abdominal cavity in the left upper quadrant.
The patient is status post median sternotomy for CABG. There is a dual to pacemaker/defibrillator in place over left chest. The lungs are clear. The bowel gas pattern appears normal.
There are degenerative change of the cervical, thoracic and lumbar spine and both hips.
1. The VP shunt catheter appears intact throughout its length.
2. Status post CABG.
3. Dual chamber pacemaker/defibrillator in place.
4. Degenerative bony changes as described above."
Would you use CPT 75809 for this? The x-ray tech stated that we should code it as a 2 view skull, 2 view chest and 2 view abdomen. Can someone please advise me on this? Thank you!
SuperCoder Answered Thu 05th of February, 2015 06:55:04 AM
If the provider first injects a contrast material into shunt and then takes radiographic images, use code 75809.
If the provider has not used contrast, then you will use the usual skull, chest and abdomen radiological examination codes basis the number of views taken. Thanks !!