November 2007 page 8b
Coding Communication:Surgery: Cardiovascular System
Question: How is completion angiography reported when
performed during noncoronary bypass procedures?
Answer: Completion angiography at the time of a peripheral
vessel bypass (eg, 35510, 35512, 35522, 35525, 35556,
35566, 35571, 35583, 35585, 35587, 35656, 35666) is
considered inherent in assessing technical adequacy of
the revascularization and is not additionally reportable.
Postprocedure angiography (at a session other than the
surgery) to evaluate a potential complication is separately
reportable. Use of modifier 59, Distinct procedural service,
and the appropriate ICD-9-CM diagnosis code would be
required to reflect this circumstance when the second...
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