For the Week of January 18, 2021
Can we bill for an angiogram and catheter placement for a failed access site done during a Left Heart Catheterization (LHC)? For example, the right radial artery (RRA) access was obtained but we could not navigate the wire to the right subclavian. Right brachial artery angiography was performed through the diagnostic catheter. There was moderate tortuosity and the vessel size was small, and a decision was made to pursue a right femoral artery access. Could we bill 36140-59 and 75710-59 with LHC 93458?
What is the update to the local clinical laboratory fee?
Are injectable drugs such as intravenously administered drugs normally eligible for inclusion under the “incident to” benefit?
A CT of the head without contrast is performed in the morning, and a CT of the head with contrast is performed on the same day in the afternoon. Is it correct to code this scenario using 70450 with 70460 separately accompanied by modifier 59, or choose just 70470?
What is the APC status indicator for 94016?
What is the appropriate ICD-10-CM for retrolisthesis of C5 relative to C6? There is nothing in ICD-10 under “retrolisthesis” and I wasn’t sure if you go to “displacement” intervertebral disc, cervical M50.222? Or is there another term to look under for retrolisthesis. Does the doctor need to change how he documents this problem?
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