Coding for Vascular Interventional Radiology Series

Description

Haugen Academy is proud to present a seven-part course in CPT Coding for vascular interventional radiology (VIR) procedures. Arguably one of the most difficult areas of coding, this series provides instruction on this tricky topic from diagnostic to therapeutic procedures on all parts of the vascular system. The first six parts of this course include information every VIR coding professional should know about coding for this complex service. The optional part 7 covers stent grafts for aneurysm repairs, which are inpatient-only procedures per Medicare. Each course concludes with the Code Red Ultimate Coder Challenge, a hands-on coding experience designed to solidify the teaching objectives.

Objectives:

Part 1:

• Identify the four types of vascular systems
• Differentiate between nonselective and selective catheterization
• Distinguish selective imaging from nonselective imaging
• Identify vascular families on an anatomical diagram
• Distinguish between carotid and vertebral artery circulation
• Identify situations in which an arch aortogram is bundled into other imaging
• List the cervicocerebral angiography codes in the order of the hierarchy
• Apply the order of selectivity to assign catheterization codes for upper extremity angiography
• Determine when to use codes for retrograde brachial angiography
• Distinguish between subclavian injection for cervicocerebral angiography and upper extremity angiography
• Distinguish between thoracic aortogram and arch aortogram
• Determine when to use codes for visceral angiography when the intercostals are injected

Part 2:

• Determine when a flush aortogram is bundled
• Differentiate between bundled and component coding for renal and other visceral angiography
• Identify three major vascular families off the abdominal aorta
• Distinguish between pelvic arteries and arteries of the lower extremity
• Determine when to use selective pelvic angiography codes
• Apply order of selectivity to determine appropriate catheterization codes
• Assign codes to various types of run-off procedures

Part 3:

• Differentiate between different types of revascularization procedures
• Determine when a diagnostic angiography can be coded in addition to a vascular intervention
• Determine when to use codes from the cardiovascular subsection and nervous system subsection when reporting angioplasty and stenting of the carotid arteries and intracranial arteries
• Differentiate between cervical and intrathoracic carotid arteries
• Place revascularization procedures in order according to the hierarchy
• Match leg arteries to their respective territories
• Determine how many codes can be assigned per territory and per leg
• Identify procedures that are bundled into lower extremity revascularization procedure codes
• Place revascularization procedures in order according to the hierarchy
• Match leg arteries to their respective territories
• Determine how many codes can be assigned per territory and per leg
• Identify procedures that are bundled into lower extremity revascularization procedure codes

Part 4:

• Identify the order of selectivity of the venous system
• Determine which venous vascular interventions require a bundled versus a component coding approach
• Differentiate between the peripheral and central segments of the dialysis circuit
• Apply the dialysis circuit code hierarchy rules to coding scenarios
• Determine when to use arterial versus venous codes for cases involving bypass grafts

Part 5:

• Determine when transcatheter thrombolysis codes are reportable
• Differentiate between primary and secondary thrombectomy
• Classify various vascular conditions as hemorrhage, tumor, and other indications for embolization
• Determine when to use S&I codes for embolization procedures and follow-up angiography following embolization

Part 6:

• Identify the pulmonary arteries as nonselective, selective, or segmental
• Determine when to use code 75774 for additional pulmonary artery imaging
• Assign codes for portal vein catheterization
• Identify the veins CPT classifies as central veins
• Differentiate between a centrally placed and peripherally placed central catheter
• Determine when to use removal vs. replacement codes for central venous catheters
• Indicate situations where it is appropriate to code imaging guidance for central venous catheter placement

Part 7:

• Identify the components of some common abdominal aorta stent graft devices
• Determine when to code extension grafts
• Identify procedures that are bundled into thoracic aneurysm repair codes
• Determine which procedures can be coded during the same episode as fenestrated endovascular aneurysm repair (FEVAR) placement

** The price of this product includes an AMA Royalty Fee