We have an office-based vein center and have heard that something called LCDs should be followed before a procedure is performed. We’re not sure what these are or if they are important—if so, how do we integrate them into our office processes?

Can we bill the 92242 for the indocyanine green injection intraoperatively, for example to assess perfusion after a procedure? Can we bill for the injection using 15860?

I’m a general surgeon. Some of my team are reporting the negative pressure wound therapy codes 97605 and 97606 when applying wound vacs after closing at the completion of their surgical cases. As a result, I am told by my coders that billing for these wound vacs is not appropriate, since there is a Medicare NCCI edit that bundles this with more comprehensive procedures at the same anatomic area.
The physicians and coders disagree about how to handle these edits. Some of the physicians believe the wound vacs are billable because they are applied to the skin which constitutes a different body system. The coders think the wound vacs are dressings which are included in the global surgical fee and would not billable. After multiple discussions with the physicians and coders, we are unable to provide a definitive answer. Could I please ask you for your advice regarding this issue? What is the right answer?

Are there any vascular CPT codes that still allow separate reporting of selective and non-selective catheterization codes?

Is catheterization separately reported with renal angiograms?

Is angiogram of the iliac arteries reported with the pelvic angiogram code, 75736?