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Interventional Radiology Coder

Interventional Radiology Coder

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For 2018 you can depend on Interventional Radiology Coder to keep you compliant in your IR coding and billing. No need to cross-reference multiple volumes — it’s all right here!

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Price: $183.00

Product Code: PSI

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Because one missed code has a big impact.

30% of IR cases are coded inaccurately nationwide. Why take any chances with your interventional radiology coding? Ensure full payment and total compliance with the help of America’s #1 IR coding resource. Exceptionally easy to navigate, this compact handbook will save you valuable time and streamline coding for a full-range of angiographic exams and interventional radiology procedures.

Fully updated, our Interventional Radiology Coder is an easy-to-use reference allowing you to quickly verify code selections for common procedures and guiding you through the many gray areas from recent years such as; dialysis graft/fistula, lower extremities, genitourinary, GI/biliary, AAA grafts/repair, imaging guidance (IVUS, fluoroscopy), and more. Our consultants take the common issues they see in audits across the country and translate them to easy-to-follow tips, clearing up the confusion around complex and not-so-common scenarios so you can be confident in your coding.

In addition to the recent industry changes, procedures such as diagnostic angiography, intracranial angiography, angioplasty, stenting, atherectomy, embolization, EVAR, FEVAR, TEVAR, dialysis graft/fistula, lower extremity revascularization and hundreds of other IR procedures — are all covered here!

Features and Benefits

  • Updated with NEW information, including new and revised codes, code descriptions, coding guidelines and payments for:
    • Endovascular repair of abdominal aorta and/or iliac arteries (EVAR)
    • Venous sclerosing
    • Endovenous ablation of incompetent veins
    • Bone marrow diagnostic procedures
    • Cryoablation treatment
    • Brachial retrograde artery introduction
    • Knee arthrography injection
    • IVUS parenthetical note revisions
    • And more!
  • Step-by-step through coding for IR procedures, comprehensive including both diagnostic exams and therapeutic interventions
  • Easy to navigate — Covers both vascular and non-vascular procedures; content is organized by body system (e.g., head and neck) with quick-reference coding tips and payment tables
  • Covers code assignments by both hospital (technical) and physician (professional) entities
  • Each section includes:
    • Payment tables (RVUs and APCs) by CPT/HCPCS code
    • Menus that walk you from the procedure descriptions, listed alphabetically, to the current radiological and surgical codes
    • Coding tips for each coding example listed
    • Anatomical illustrations showing common procedures and the corresponding CPT® codes
  • Special help with common areas of confusion and noncompliance, such as:
    • The proper application of bundled codes with expanded tips and guidance for genitourinary, biliary, dialysis circuit and extremity procedures
    • Correct IR coding hierarchies for multiple diagnostic studies
    • Angiographic and interventional procedures performed together
    • Medically unlikely edits (MUEs) and NCCI policy

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.

The final rules for the 2018 Medicare outpatient prospective payment system (OPPS) and the Medicare physician fee schedule (MPFS) dictate the publishing dates for our books. In previous years, the Centers for Medicare & Medicaid Services have issued these final rules in early November of the previous year (November 2017), and the updating process for our books begins.

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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