tci General Surgery Coding Alert - 2014 Issue 7

You Be the Coder: Know When Vascular Procedure Includes Radiology

Question: Our vascular surgeon carried out an angiojet thrombectomy with multiple passes in the main pulmonary artery, and also placed an IVC filter. Imaging was involved as follows: diagnostic angiography on the main pulmonary artery  TPA injection  IVC venogram to identify renal veins. How should I code this, and which imaging services can I separately report?  Supercoder.com Subscriber Answer: Report the vascular surgeon’s work using 37184 (Primary percutaneous transluminal mechanical thrombectomy, noncoronary, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection[s]; initial vessel) for the thrombectomy.    The thrombectomy code includes...

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