Interventional Radiology Insights

From our desks to yours – a collection of news, trends, tips and fun facts related to interventional radiology coding

Pelvic Angiography – When is it Appropriate to Assign 75736?

Pelvic angiography – it’s a term we see in reports and there’s a CPT® code specifically describing it, so why is this code so frequently mis-used? The answer to that involves understand what the definition of true pelvic angiography entails and the key terms to look for in documentation to support it. Selective (True) Pelvic

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Biliary IR Coding – 5 Common Mistakes

With most bundled code sets, it’s the small details that make all the difference. Biliary procedures are much the same. The code descriptions look similar but contain subtle variations that require a good understanding of the full, long description of each code. However, code descriptions don’t always provide all the information needed for correct application

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Genitourinary IR – Same Procedure, Different Terms

With interventional radiology procedures, to say physician documentation can be a little tricky is an understatement. For genitourinary procedures specifically, this seems even more apparent. It’s not uncommon for different physicians to describe the same procedure in different ways and, with some terms used interchangeably (that have very different meanings) it can be frustrating for anyone coding genitourinary services. Let’s

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Interventional Radiology Webcast Series FY20Q1 Update

Thank you for being a valued subscriber to the Interventional Radiology Coding Webcast Series for 2020. As you know, IR continues to face challenges when it comes to coding and compliance, we are eager to tackle those challenges together. We put all our energy into making sure your resources offer the most current and complete

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Interventional Radiology Coding Charts FY20 Q1 Update

Thank you for being a valued subscriber to the Interventional Radiology Coding Charts for 2020. As you know, IR continues to face challenges when it comes to coding and compliance, we are eager to tackle those challenges together. We put all our energy into making sure your resources offer the most current and complete solutions

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Lumbar Punctures and the Continued Bundling of Imaging Guidance

Lumbar puncture, spinal puncture, spinal tap – no matter what we call it the procedure is commonly performed and, with new and revised codes for 2020, multiple options are available when it comes to how they are coded. Let’s review these new and revised codes, what the criteria are for assignment and how the differences

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Interventional Radiology Coder FY20Q1 Update

Thank you for being a valued subscriber to the Interventional Radiology Coder for 2020. As you know, IR continues to face challenges when it comes to coding and compliance, we are eager to tackle those challenges together. We put all our energy into making sure your resources offer the most current and complete solutions to

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Essentials of Interventional Radiology Coding FY20Q1 Update

Thank you for being a valued subscriber to Essentials of Interventional Radiology Coding for 2020. As you know, IR continues to face challenges when it comes to coding and compliance, we are eager to tackle those challenges together. We put all our energy into making sure your resources offer the most current and complete solutions

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Vascular IR Fundamentals – Building a Foundation for a New Year

As you know, coding for vascular angiography and interventions is complicated. Adding to the challenge, it is open to interpretation (hello often unclear documentation!) and tends to change frequently making for a problematic mix that places even the most experienced coders under pressure. Coders must be fully up to speed regarding current code choices and

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Current IR Audit – Renal and Peripheral Angiography

If there’s one thing we can count on to remain consistent in the world of IR coding, it’s that this time of year is full of change – potentially with a hint of chaos, and sometimes surprises. One recent surprise that could leave your facility vulnerable is the approval of a recovery audit from the

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Vertebroplasty and Kyphoplasty – What’s the Difference?

When it comes to pain management procedures, we often think of steroid injections, nerve blocks or other similar procedures (fun fact: watch out for numerous changes to these services in 2020) – but what about other types of pain management procedures? There’s an array of services provided to patients all with their own coding rules

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FNA biopsy: 10 things to know about the new codes

With recent significant changes in the fine needle aspiration (FNA) biopsy code family, let’s review a few key takeaways. Prior to this year, there were two CPT® codes describing FNA biopsy: 10021 (fine needle aspiration; without imaging guidance) and 10022 (fine needle aspiration; with imaging guidance). These codes were fairly straightforward. If an FNA biopsy

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Ultrasound Guidance for Vascular Access: Can I Charge for That?

+76937 Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent real-time ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure) Ultrasound guidance is often used to locate and gain entry into the access vessel for

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Arch, Carotid and Vertebral Angiography: A Quick Review

The concept behind bundled codes is not new to anyone familiar with coding for interventional radiology procedures, and it’s no surprise that complete codes (including catheterization and imaging) exist for arch, carotid and vertebral angiography–CPT® codes 36221-36228. Like other code sets, these codes are built on a hierarchy, meaning the lower numbered codes are valued

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Biliary Drainage – Exchanges, Conversions, Stents

As with most IR procedures, one of the primary issues faced when it comes to coding remains the inconsistent language in reports. Procedures can be described in a multitude of ways adding complexity and confusion to the process. Even though they may be performing the same procedure, physicians don’t (typically) have a uniform way of

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10 Things You Need to Know About Dialysis Circuit Add-on Codes

The arteriovenous (AV) dialysis circuit is designed for repetitive access to perform hemodialysis. Patients on long-term dialysis will usually have an AV fistula (created by directly connecting a native vein to a native artery) or an AV graft (created by using an artificial tube attached on one end to a vein and the other end

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