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Tag Archives: PLEASE

Pigtail catheter placed in ileal conduit–help please!

Which CPT codes would you use to code this report? I’ve never come across this before and I can’t find a code that matches closely.

Under fluoroscopic guidance, a guidewire was placed through the
ileostomy into the ileoconduit. A 5 French dilator was
then passed over the wire. The ileal conduit was injected with
contrast.

The guidewire was replaced into the ileal conduit. A 12 French
pigtail catheter was then placed over the guidewire and
left within the ileal conduit.

Impression:
12 French pigtail catheter placed in ileoconduit as described above.

Thanks for any feedback you can provide!

Danielle Kaszner, CPC

Medical Billing and Coding Forum – Interventional Radiology

AAA repair using 2 ‘extension’ devices only – Please Help!

I wanted to get input from other vascular coders as to how you would code an endo-AAA repair in which the physician used 2 typical ‘extension’ pieces to overlap and create an aortic only stent…”initial aortic device ends just proximal to the aortic bifurcation” and “the proximal portion of the second graft would end just at the renal arteries with the appropriate overlap with the initial device.”

• Would you code 34800 even though a unibody prosthesis was not used directly but the 2 pieces overlapped to essentially create one?

• Would you code 34825 (coded once, following ‘per vessel’ rule) since extension piece(s) was used even though this was not an extension of a previously placed endograft?

• Would you use an unlisted code?

I appreciate any input.

Medical Billing and Coding Forum – Cardiovascular Thoracic

2016 G-Codes, Definitive Drug Testing, G0480, G0481, G0482, & G0483 OPINIONS PLEASE!

When using codes G0480, G0481, G0482, & G0483 it’s my understanding that you do not and can not bill these codes with more than one unit.
I’ve read the description for all codes and that’s the only way I understand it. Please tell me if I am wrong!

UHC has just started denying the old codes and I am sending corrected claims on them, but my supervisor is telling me to bill for 4 units on G0480 because that’s the number of drugs tested for, I explained my thoughts on it but she is not seeing it that way.

Please tell me your thought!! And if I am wrong then why 4 different codes for different amounts of drug classes???

Please give me opinions, I would greatly appreciate them!!!

Medical Billing & Coding Forum | AAPC