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Coding Thrombolysis Infusion and Stent
A patient with a clot in the femoral artery had overnight infusion of thrombolytics. When the catheter was removed the next day, the doctor place a stent in the same artery, the superficial femoral . can both be billed?
E&M Coding Based on Time
When choosing the level of E&M we are confused about the History and Exam. If we choose a level of E&M based on time, does this time count toward total time, or is it only time spent on MDM?
Secondary Payor Doesn’t Recognize Consultations
We have a patient with 2 commercial payers (BCBS and Cigna). A consultation code was submitted to BCBS, and they paid according to our contract. However, Cigna is refusing to process the claim since they no longer pay for consult codes. Am I allowed to change the CPT code and rebill Cigna? Or would I need to change the CPT, refile to the primary as a corrected claim, then send the balance on to Cigna?
Lesion Crossing Two Territories
Our vascular surgeon did a single intervention on a lesion that was at the juncture of the femoral/popliteal and tibial/peritoneal territories. Can we charge for two interventions?
Venogram and Catheterization
During a catheterization the surgeon performed a venogram. I don’t see that these procedures are bundled, is that correct?
Catheterization and Intervention Billing
Does TEVAR allow for billing of catheterization and intervention? Would a 59 modifier be needed?
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