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Unsuccessful TIPS placement

Deaconess Posted Thu 15th of February, 2018 10:24:02 AM
Good morning, our rad went in to perform a TIPS placement on a patient that became unsuccessful due to the main portal vein being unsuitable for placement. The rad performed the rt hepatic venogram, portal venogram with pressure measurements and performed a balloon venoplasty to try to expand the portal vein, but it didn't work so it wasn't placed. Are we able to code the 36481, 75885, 36011, 75891 and 37248 or do we code the 37182 with a 52 modifier? Thanks in advance for any help!
SuperCoder Answered Fri 16th of February, 2018 08:13:38 AM


The team is working on the query.


SuperCoder Answered Mon 19th of February, 2018 03:55:32 AM


As per general coding guidelines, sometimes several unsuccessful attempts are made during the same operative episode to perform a procedure and finally the last attempt is successful. In this instance, only one unit of a single code would be reported for the procedure successfully accomplished, regardless of the numerous attempts. The unsuccessful attempts are considered a part of the successful procedure.

As per above mentioned report all attempts are made to perform TIPS procedure but failed, so the appropriate code is 37182-52.


Deaconess Posted Tue 20th of February, 2018 07:40:36 AM
Thank you so much for your help!
SuperCoder Answered Wed 21st of February, 2018 00:03:40 AM


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