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Interventional Radiology Coder


 
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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Your All-In-One IR Coding Handbook

Don't take any chances with your interventional radiology coding in 2018. 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 finding the correct IR CPT®/HCPCS codes for more than 400 procedures.

Fully updated for 2018, Interventional Radiology Coder is designed to streamline IR coding through a complete spectrum of body sections, including head, neck and chest, upper extremity, lower extremity, abdominal/visceral, gastrointestinal, genitourinary, venous and pulmonary.

In each chapter, you'll find at-a-glance "menus" that speed you to the correct radiological and surgical codes, as well as HOPPS and MPFS payment information, for both vascular and nonvascular interventions. Diagnostic angiography, intracranial angiography, angioplasty, stenting, atherectomy, embolization, EVAR, FEVAR, TEVAR, AV dialysis shunt, dialysis graft/fistula and hundreds of other IR procedures — they're all covered here!

2018 Interventional Radiology Coder is also an effective educational tool, whether you're training a new staff member or preparing for the CIRCC exam.

New for 2018:

  • Updates to collapsing/bundling of codes
  • New, revised and deleted codes, such as:
    • Cryoablation codes
    • Endovascular Repair of Infrarenal Aorta (EVAR)
    • Endovenous Albation of Incompetent Veins
    • Bone Marrow Diagnostic Procedures
    • Brachial Retrograde Artery
    • Ultrasound
    • Knee Antrography Injection
  • New chart for Celiac Origin

Features and Benefits:

  • Step-by-step through coding for 400-plus 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) and by quick-reference coding 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 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

Introduction

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)

Chapter 1: Head, Neck and Chest

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

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

Chapter 2: Abdominal/Visceral

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)

Chapter 3: Gastrointestinal

GI Interventional Radiology Coding Tips (p. 79)

Relevant Definitions (p. 83)

Chapter 4: Genitourinary

Genitourinary Interventional Radiology Coding Tips (p. 89)

Chapter 5: Upper Extremities

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)

Chapter 6: Lower Extremities

Lower Extremities Angiographic Radiology Coding Tips (p. 114)

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

Chapter 7: Percutaneous Biopsy, Aspiration, Drainage or Ablation (Non-Vascular)

Percutaneous Drainage Interventional Coding Tips (p. 151)

Chapter 8: Venous

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)

Chapter 9: Pulmonary

Pulmonary Angiographic Radiology Coding Tips (p. 184)

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

Chapter 10: Pain Management

Chapter 11: Miscellaneous Invasive Radiology Procedures

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

Chapter 12: Cardiac Catheterization

Commonly Performed Studies (p. 208)

Cardiac Catheterization Coding Tips (p. 212)

Appendix

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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