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2019 Interventional Radiology Coder

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America's preeminent IR coding handbook provides an easier, faster pathway to the correct CPT®/HCPCS codes for a full range of angiographic exams and interventional radiology procedures.

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Improve IR coding efficiency and accuracy rates with this unique resource

Interventional radiology coding accuracy rates remain at about 70% nationwide — meaning that 30% of IR cases are at risk for underpayment or claim denials. Our best-selling book, Interventional Radiology Coder provides your best protection against the threats to your IR revenues. From unique code selection menus to clear-cut guidance through troublesome gray areas, you won't find a better IR coding resource anywhere else!

Features and Benefits

Our IR coding experts address common questions, concerns and problem areas, such as:

  • Continuing confusion and questions stemming from recent major changes to coding for:
    • Biliary procedures — imaging, drainage catheters, stent placement/exchange, biopsy
    • Genitourinary procedures — imaging, stent placement/exchange, biopsy
    • Dialysis circuit — AV graft/fistula
    • Endovascular aneurysm repair (EVAR)
    • Cryoablation treatment for pulmonary tumors
    • Diagnostic bone marrow procedures
  • Coding for pain management and venous sclerosing/ablation procedures — significant sources of revenue for many IR providers
  • Proper application of bundled codes

New and expanded content for 2019:

  • Step by step through many new, deleted and revised codes for reporting procedures, including:
    • Fine needle aspiration biopsy
    • Knee arthrography
    • PICC line (with update to CVA guidelines)
    • Urinary tract dilation
    • Gastrostomy tube replacement
  • Revisions to IR coding guidelines for percutaneous mechanical thrombectomy and MR guidance, plus editorial revision for intracranial vasospasm with imaging
  • New details on the different types of endoleaks, to assist with deciphering physician documentation
  • From questions received throughout the year, expanded guidance pertaining to intracranial venous stenting, sacroplasty, 3D post-processing and vein ablations

Clear, reliable guidance through the tasks you perform every day:

  • Coding for hundreds of vascular and nonvascular IR procedures, encompassing both diagnostic exams and therapeutic interventions, including: diagnostic angiography, intracranial angiography, angioplasty, stenting, atherectomy, embolization, EVAR, FEVAR, TEVAR, dialysis graft/fistula and lower extremity revascularization
  • Covers code assignments by both hospital (technical) and physician (professional) entities

A proven approach to effective learning and quick reference for busy professionals:

  • Content is organized by body system (e.g., head and neck)
  • Each section includes:
    • Menus that walk you from the procedure descriptions, listed alphabetically, to the current radiological and surgical codes
    • Payment tables (RVUs and APCs) by CPT/HCPCS code
    • Coding tips for each coding example listed
    • Anatomical illustrations showing common procedures and the corresponding CPT codes

CPT® is a registered trademark of the American Medical Association.

For certain MedLearn Publishing publications, you will see an 'AMA Royalty Fee' in your shopping cart. This charge covers the licensing fee MedLearn Publishing pays to the American Medical Association (AMA) for references to CPT® codes. The AMA owns the copyright for CPT codes.

Table of Contents

How To Use This Guide   (p. 9)

  • Code Location   (p. 9)
  • Payment Tables   (p. 10)

Relative Value Units   (p. 12)

Modifiers and Bundled Codes   (p. 13)

  • Modifiers   (p. 13)
  • National Correct Coding Initiative   (p. 23)
  • Procedure-to-Procedure Edits   (p. 24)
  • Moderate (Conscious) Sedation   (p. 26)

Head, Neck and Chest Angiographic Radiology Coding Tips   (p. 36)

Head, Neck and Chest Interventional Radiology Coding Tips   (p. 42)

Abdominal Angiographic Radiology Coding Tips   (p. 62)

  • Nonselective Coding   (p. 62)
  • Selective Coding   (p. 62)
  • Radiological Supervision and Interpretation Coding   (p. 62)

Abdominal Interventional Radiology Coding Tips   (p. 66)

GI Interventional Radiology Coding Tips   (p. 79)

Relevant Definitions   (p. 83)

Genitourinary Interventional Radiology Coding Tips   (p. 89)

Upper Extremities Angiographic Radiology Coding Tips   (p. 96)

  • Nonselective Coding   (p. 96)
  • Selective Coding   (p. 96)
  • Radiological Supervision and Interpretation Coding   (p. 96)

Upper Extremities Interventional Radiology Coding Tips   (p. 99)

Lower Extremities Angiographic Radiology Coding Tips   (p. 114)

  • Nonselective Coding   (p. 114)
  • Selective Coding   (p. 114)
  • Radiological Supervision and Interpretation Coding   (p. 115)

Percutaneous Drainage Interventional Coding Tips   (p. 151)

Venous Angiographic Radiology Coding Tips   (p. 158)

  • Nonselective Coding   (p. 158)
  • Selective Coding   (p. 158)
  • Radiological Supervision and Interpretation Coding   (p. 158)

Central Venous Access Procedures   (p. 159)

  • Five Main Categories of Procedures   (p. 160)

Other Central Venous Access Procedures   (p. 161)

  • Collection of Blood from a CVAD   (p. 161)
  • Declotting of Implanted Vascular Access Device or Catheter   (p. 161)
  • Verifying Patency   (p. 161)
  • Removal of Obstructive Material   (p. 161)

Imaging Guidance for Central Venous Catheters/Devices   (p. 162)

Fluoro Guidance   (p. 162)

Ultrasonic Guidance   (p. 162)

Venous Interventional Radiology Coding Tips   (p. 168)

  • General Information on Non-Selective and Selective Venous Catheter/Device Placement   (p. 170)

Via a Right or Left Femoral Vein Stick   (p. 171)

Via a Right or Left Internal Jugular Vein Stick   (p. 171)

Portal System Via Right Internal Jugular Vein Stick   (p. 172)

Pulmonary Angiographic Radiology Coding Tips   (p. 184)

  • Nonselective Coding   (p. 184)
  • Selective Coding   (p. 184)
  • Radiological Supervision and Interpretation Coding   (p. 184)

Miscellaneous Invasive/Interventional Radiology Coding Tips   (p. 204)

Commonly Performed Studies   (p. 208)

Cardiac Catheterization Coding Tips   (p. 212)

Appendix A: NCCI Policy Manual for Medicare Services   (p. 213)

Appendix B: Hospital OPPS Status Indicators   (p. 233)

Appendix C: The ICD-10 Coding System   (p. 237)

  • Impact on Radiology   (p. 237)
  • Non-Specific vs. Specific Diagnosis Codes   (p. 238)
  • Getting Help   (p. 239)

Appendix D: Recovery Audit Program   (p. 241)


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