Radiology

Radiology Question for the Week of May 31, 2021

Radiology Compliance Question of the Week

Question:

What if a patient comes to our department for imaging of the AV – Circuit, but they still have a needle/catheter in place and we perform imaging through this “existing” access. Previously I would use code 75791, but since that code is deleted, how do I code for this imaging in this scenario?

Answer:

Correct, CPT® 75791 is deleted. Imaging now would be defined by the code 36901 as this code includes the needle/catheter placement(s) as well as the S and I portion (i.e., bundled code). Since your provider did not perform the entire service, (i.e. both access and imaging) correct coding would be 36901 – 52.

36901 Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report;

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