Coding Corner for June

EVAR/TEVAR Question: What CPT® code should be reported for placement of an iliac branched (bifurcated) endograft when EVAR includes both a main trunk and an iliac branched endograft during the same surgical session? Answer:  Code +34717 should be reported:  Endovascular repair of iliac artery at the time of aorto-iliac artery endograft placement by deployment of […]

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Coding Corner for January

Question: What is the main criteria used to determine the primary procedure code for the TEVAR procedure?   Answer:  Based on the code descriptions, the main criteria used to determine the primary procedure code for the TEVAR procedure is whether the endoprosthesis is covering the subclavian artery origin or not. Question: What is the difference […]

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Coding Corner for December

Question: What criteria will be used to select the appropriate evaluation and management (E/M) office or other outpatient code level for 2021?   Answer:  One of the most significant changes for reporting E/M services in 2021 is the use of either time or medical decision making (MDM) as the criteria for total time providing services […]

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Coding Corner for November

Question: Can modifier -22 (Increased Procedural Services) be appended to the congenital TTE codes  (93303-93304)? Answer:  According to CPT® Assistant December 2013, codes 93303 and 93304 were developed to recognize the additional work of these procedures in comparison to the standard TEE codes. Therefore, the use of modifier 22 is not applicable. Question: What are […]

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Coding Corner for October

Question: Duplex scans can be used to determine the patency of vessels for hemodialysis access. What CPT® codes are used and how are they distinguishable? Answer:  Generally speaking, the extremity duplex scan codes used for hemodialysis access vessel patency are based on whether arteries, veins or both are imaged. For both arterial inflow and venous […]

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Coding Corner for September

Question: What are the documentation and reporting requirements for code 99072? Answer:  Code 99072 was established in September 2020 to report additional practice expenses incurred during the PHE, including supplies, materials and additional clinical staff time: 99072 – Additional supplies, materials, and clinical staff time over and above those usually included in an office visit […]

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Coding Corner for August

Question: Patient presents with an endoleak at the proximal anastomosis at the left posterior tibial artery/vein, status post percutaneous deep vein arterialization (pDVA) procedure. Repair was performed with angioplasty and subsequent stenting in the proximal posterior tibial artery and vein at the anastomosis site. What is the code used to report this procedure?   Answer:  According to AHA Coding Clinic for HCPCS Second Quarter 2020, the code assignment for […]

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Coding Corner for July

Question: What is a percutaneous deep vein arterialization (pDVA) procedure and how is it coded?   Answer:  Percutaneous deep vein arterialization (pDVA) procedure is a specialized technique which consists of creation of a surgical fistula between the affected vein and a corresponding artery with a stent, essentially bypassing the venous lesion.  Currently there is a Category III code for […]

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Coding Corner for June

Question: When multiple hernias are repaired through the same incision, is one code or are multiple codes assigned?  Answer: According to AHA Coding Clinic for HCPCS, First Quarter 2020, assign one hernia repair code only as recommended in the most current advice published in Coding Clinic for HCPCS, Third Quarter 2016. The most current advice supersedes previous advice. Codes for additional hernia repairs may be assigned when […]

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Coding Corner for May

Question: What is a HYBRID EVAR procedure and how is it coded? Answer:  Hybrid endovascular abdominal aortic aneurysm repair (EVAR) with standard open surgery for repair of common iliac aneurysms is typically performed on patients who are not candidates for iliac branched endograft (IBE) devices or in situations where the IBE is not available. This […]

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