Count on this unique resource in a year of upheaval
2011 will go down in history as a watershed year for peripheral and cardiology coding. Dozens of codes for diagnostic cardiac cath and interventions of the lower extremities have been eliminated, replaced by "combination" codes. You can count on this book to walk you through these sweeping changes and how to code it right the very first time. Highlights:
- Coding instructions for non-invasive and invasive diagnostic cardiac services
- Addresses both physician and outpatient facility coding - a MedLearn exclusive
- Sections on coding for electrophysiology and cardiac rhythm management
- Guidance in billing for cardiac catheterization, with and without imaging supervision, interpretation and report
- Coding strategies for conscious sedation, along with time-based calculations
- Coding and charging for various types of contrast used during diagnostic cardiology and/or interventional radiology procedures
- Case studies with codes to help reinforce and accelerate the learning process
- High-quality coding diagrams showing anatomy of the heart, arteries (peripheral, renal and visceral), carotids and more; full-body image shows ipsilaterial, contralateral and selective coding references in detail
- Appendices addressing the Medicare physician fee schedule, hospital OPPS, CPT codes and modifiers (Levels I and II)
- NEW FOR 2011:
- Full coverage of all coding and rule changes for 2011: the intent of each code, coding guidelines and clinical examples
- Crosswalks from 2010 to 2011 cardiac cath codes for the most common procedures
Findings from MedLearn consulting experts
MedLearn consulting experts speak from their real-world experiences regarding the potential benefits of Peripheral & Cardiology Coder to healthcare organizations:
Rampant under-coding - "Cardiologists are performing more and more procedures that were once the domain of interventional radiologists, such as peripheral angiography, cerebral angiography, cervical angiography of the carotid and the placement of stents in vessels. In our recent consultations, we've observed widespread under-coding of these procedures. Now, with the 2011 introduction of substantial code and guideline changes for lower extremity interventions, making the correct code assignment is more challenging than ever. Fortunately, Peripheral & Cardiology Coder contains detailed instructions to appropriately assign these new codes."
$3,000+ overpayment potential - "Stent placement following a suboptimal angioplasty in the same lesion is a scenario in which we see a common coding error. According to 2011 Medicare coding guidelines for lower extremity interventions, only a single code should be assigned in this case. Conversely, misunderstanding the current coding rules may result in gross overpayment to a hospital of more than $3,800 per procedure or more than $737 to the physicians. In this and many other instances, CPT has collapsed, or bundled, multiple procedures into one code. Choose the wrong code, and inappropriate reimbursement may result."
Miscoding aortogram with angiogram - "We've seen several instances of providers coding incorrectly for an angiogram performed in conjunction with an aortogram. Example: An aortogram is performed from a catheter placed in the proximal aorta. Then the same catheter is repositioned in the distal aorta for a bilateral lower extremity angiogram. Two radiology S&I codes (75626 for the abdominal aortogram and 75716 for the bilateral extremity angiogram) should be submitted.* However, the provider may incorrectly use code 75630, which describes angiography of the entire aorta and lower extremities from one catheter position. For hospitals, this mistake translates to a net $1,000 payment reduction for each patient encounter."
*See CPT Assistant, January 01:14
CPT is a registered trademark of the American Medical Association
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