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2019 Interventional Radiology Coder

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A simple formula makes this the best resource of its kind: Create an easy, fast pathway to the correct CPT®/HCPCS codes for a full range of angiographic exams and interventional radiology procedures.

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Price: $183.00

Product Code: PSI

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Insist on the best IR coding resource — too much is at stake!

Would you settle for 30% inaccurate coding of your interventional radiology cases? Yet, that's exactly what's happening across the country, and it's taking a huge toll on revenues and compliance. It doesn't have to be like this — if you depend on America's #1 IR coding resource.

Incredibly easy to use, this compact handbook guides you quickly to the correct codes for hundreds of angiographic exams and IR procedures, including diagnostic angiography, intracranial angiography, angioplasty, stenting, atherectomy, embolization, EVAR, FEVAR, TEVAR, dialysis graft/fistula and lower extremity revascularization. Do you struggle with gray areas in code selection? Expect clear-cut answers directly from our IR coding experts. Are you fully up to speed with the IR code changes for 2019? They're all covered here!

Features and Benefits

  • Updated with NEW information:
    • Many new, deleted and revised codes for reporting procedures, including:
      • Fine needle aspiration
      • Knee arthrography
      • PICC line (with update to CVA guidelines)
      • Urinary tract dilation
      • Gastrostomy tube replacement
    • Numerous revisions to IR coding guidelines as well as parenthetical revisions
    • Update on IR-specific NCCI edits
    • 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
  • Step-by-step through coding for a full spectrum of IR procedures, 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
    • 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 for CPT Editorial Content' 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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