Melissa Posted Fri 19th of June, 2015 11:50:58 AM
Pt came in for Vein Mapping for Dialysis G0365. Pt returns a week later for a follow up visit. Since there are no global days associated with G0365, can we code an E&M code for the follow up visit?
SuperCoder Answered Mon 22nd of June, 2015 02:07:47 AM
The provider performs this procedure for a patient such as an end stage renal failure patient whose condition is such that physical examination is not sufficient to select a vein suitable for creating a hemodialysis access such as a dialysis fistula, a surgically created communication between an artery and vein in an extremity for dialysis. The provider does vessel mapping by doppler ultrasound or alternative technique such as venogram to help to identify the internal structure of the blood vessels and to find a suitable site for the dialysis fistula.
You can code an E&M code for the follow up visit but usually this procedure is followed by surgery (creation of fistula).