Category: Vascular

Confusion About New 2021 E/M Guidelines
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Confusion About New 2021 E/M Guidelines

October 6, 2022 Question: The new guidelines that are coming out in 2021 for all types of E/M services, right? Answer: No. The new guidelines are for office/outpatient visit codes only (99202-99215). You will still need to use the current guidelines for all other E/M services, even consultations in the office. But good news, the...

Overreading a Diagnostic Imaging Study
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Overreading a Diagnostic Imaging Study

September 22, 2022 Question: I sent a patient out to the hospital for a CTA and the patient brought in the actual images and the radiologist’s report for me to review. Can I charge 76140 (Consultation on X-ray examination made elsewhere, written report) when I personally interpret those images and write my own report? Answer:...

Billing for Lesion Intervention Crossing Territories
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Billing for Lesion Intervention Crossing Territories

August 25, 2022 Question: Our vascular surgeon documented a single intervention for a lesion that crosses the margin between the fem/pop and tibial/peritoneal territories. Should we bill one code or one for each territory? Answer: You would bill one code since a single intervention was performed, even though it crossed into another territory. *This response...

Angiogram Billing for All Vessels Viewed
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Angiogram Billing for All Vessels Viewed

August 11, 2022 Question: Can we bill for all vessels mentioned if they are documented within the angiogram? Answer: No. You should only bill for vessels that are targeted and are medically necessary. Documentation alone doesn’t mean that procedures are always separately billable. *This response is based on the best information available as of 08/11/22...

Billing for Vascular Access
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Billing for Vascular Access

July 28, 2022 Question: I’m new to vascular coding, can we bill for vascular access for a catheterization? The provider documents this, so I’m thinking I am missing a code. Answer: No, vascular access itself is not separately billable with a catheterization. However, the provider must document the vessel accessed , what side of the...

Co-Surgery Due to Complex Procedure
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Co-Surgery Due to Complex Procedure

July 14, 2022 Question:  I have 2 vascular surgeons from the same practice that want to bill co-surgery for a complex open abdominal aneurysm repair. They both performed the same code but say that it should be co-surgery because it was complex and needed both surgeons. Can we bill with modifier -62? Answer: The surgery...

Approved Telehealth Platforms
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Approved Telehealth Platforms

June 2, 2022 Question: Now that we aren’t limited to HIPAA compliant software, can we use any app or platform to conduct a telemedicine visit? Answer: During the public health emergency (PHE), you may use any app or platform that is not “public facing” according to HHS. Platforms such as Facebook Live, Twitch, and TikTok...

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