This page addresses follow-up questions and additional information pertinent to our webinar
Knowing Neurovascular.
The coding information and guidance are valid at the time of publishing. Learners are encouraged to research
subsequent official guidance in the areas associated with the topic as they can change rapidly.
Q: Can a catheterization be coded when a bilateral carotid angiogram is done along with an abdominal aortogram?
A: No, in this case, you can only code for the Carotid angiogram with 36222-50 and the abdominal aortogram with 75625. The catheter is going to be bundled when placed into the carotid.
Q: How is a selective subclavian study reported when no carotid or vertebral imaging is done?
A: Per AMA, radiologic supervision and interpretation of a subclavian artery alone is reported with 75710, so this would have a catheter placement code 36215 or 36216 and 75710.
Q: We have a scenario where the provider performed a non-selective study of the bilateral extracranial carotid circulation (36221). However, they then selected the right common carotid and did further imaging of the right side intracranial carotid artery (36223-RT). Can we report anything for the images of the left extracranial carotid?
A: No. Code 36223 bundles 36221, no matter how much you see from the arch injection, even if both internals, externals, and vertebrals are imaged. Only report the imaging from selective vessel selection.
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Deanna Upston, CPMA, CPC, COSC
Consultant
Deanna is a consultant for The Haugen Consulting Group with over 20 years of health care industry experience. Her introduction was through medical assisting, which she enjoyed for several years. Once she was established at a surgeon’s office, she started coding their surgical cases and discovered that was her favorite part of the day. Deanna has experience working on the professional fee side of coding, audit, education and compliance serving coders and physicians. She has put together multiple education sessions for both provider and coder. She also has experience working as an analyst in which she validated the integrity of editing logic during the implementation of claim scrubbing software.
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