Helpful Snippets from a Coding Director

Cathie Wilde, RHIA, CCS - Director, Coding Services IR/Catheters 1 Comment

As coders, we often encounter common coding scenarios that seem straightforward, but we may need to be reminded of applicable guidelines and coding advice. Sometimes this requires us to seek further clarification if the documentation is not clear. With awareness of the documented circumstances and pertinent guidance, the potential implications for inaccurate coding can be...

Cracking the IR Code: Catheterization Coding Basics

Stacie L. Buck, RHIA, CCS-P, RCC, RCCIR, CIRCC IR/Catheters 1 Comment

It is widely acknowledged that interventional radiology is one of the most complex medical coding specialties to master. There are many reasons why interventional radiology coding is so very challenging, but one of the main reasons is that many codes may be required to accurately capture all of the steps of a vascular procedure. To achieve success with interventional...

ICD-10-PCS Coding for Angiography

C. Matheson, RHIA, CCS IR/Catheters Leave a Comment

When coding Angiography procedures in ICD-10-PCS, a number of variables can make it challenging to get the coding right. For instance, knowing what value a particular type of contrast maps to is necessary to assign codes accurately. To help you make correct character selections when coding angiography the information that follows provides a high level review of each...

To Code or Not to Code? Diagnostic Angiography with Therapeutic Interventions

Stacie L. Buck, RHIA, CCS-P, RCC, RCCIR, CIRCC IR/Catheters Leave a Comment

To Code or Not to Code? That is the Question. Diagnostic Angiography with Therapeutic Interventions Stacie L. Buck, RHIA, CCS-P, RCC, RCCIR, CIRCC: President & Senior Consultant, RadRx One of the most common inquiries I receive about interventional radiology procedures is how to determine when to code for angiograms performed during the same session as a therapeutic...

Coding Tips on TAVR Procedure

Carrie Pfeifle, BS, RHIT - Coding Audit Manager IR/Catheters 1 Comment

  Transcatheter Aortic Valve Replacement (TAVR) is also known as Transcatheter Aortic Valve Implantation (TAVI). Medicare officially refers to this as TAVR/TAVI, but either single acronym is correct. TAVR is a transcatheter surgical procedure in which an aortic valve replacement is performed without removing the damaged native valve. In simple terms, it is similar to...

Understanding the Difference: Swan-Ganz Catheterization vs. Right Heart Catheterization

Cathie Wilde, RHIA, CCS - Director, Coding Services IR/Catheters Leave a Comment

Let’s first look at what a Swan-Ganz Catheterization is and how the procedure is performed. The Swan-Ganz catheter is synonymous with a pulmonary artery catheterization. It was named in honor of its inventors who were Jeremy Swan and William Ganz from Cedars-Sinai Medical Center in 1970. It is a flow-directed catheter with a balloon tip that is inserted via an internal...

ICD-10-PCS Coding For Venous Access Lines and Catheters

C. Matheson, RHIA, CCS IR/Catheters Leave a Comment

One challenging coding area with the ICD-10 transition is the coding of venous and arterial lines and catheters. This article aims to provide greater clarity with regard to procedure coding tips for coding of venous catheters. Types of Lines: Central Lines- (CVC)- Central Venous Catheter or central lines are inserted into large veins, typically the jugular, subclavian,...

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