Sonnia Posted Thu 20th of October, 2016 11:49:38 AM
The patient previously underwent coil embolization of the pelvic veins as a treatment for saphenofemoral reflux. One of the coils escaped the pelvis and ended up in the right heart. TEE localized the coil to the area subjacent to the anterior leaflet. Decision was made to obtain fluoroscopy. The cord was localized to the lesion subjacent to the posterior leaflet. Eventually, a right angle clamp was placed fluoroscopically with its tip at the subjacent coil and confirmed by RAO and LAO shot as well. Clearly it was behind the trabeculations on the ventricle, it was divided, and the coil became visible. It was grasped and removed. Tricuspid was repaired by reattaching the leaflets using prolene suture. I'm not sure what codes to use. Should this be 33310? And can I bill for the fluoroscopy?
SuperCoder Answered Fri 21st of October, 2016 02:31:39 AM
The correct CPT code for the above scenario is 33310.
The National Correct Coding Initiative Edits,
Radiological supervision and interpretation codes include all radiological services necessary to complete the service. CPT codes for fluoroscopy/fluoroscopic guidance (e.g., 76000, 76001, 77002, 77003) or ultrasound/ultrasound guidance (e.g., 76942, 76998) should not be reported separately.
Sonnia Posted Mon 24th of October, 2016 12:11:35 PM
SuperCoder Answered Wed 26th of October, 2016 02:09:47 AM
Happy to help!!