Professional Medical Coding For Interventional Radiology

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Correct clinical coding is important in a in depth billing cycle. It ought to be dealt with with utmost care to make certain maximum reimbursement for the health practitioner. For a health-related specialty this sort of as interventional radiology, the coding is extremely complicated with numerous analysis and treatment method [ http://www.divanewsfeed.divalikeus.com/article.php?id=127021 more help] strategies, particularly regarding radiologic supervision and interpretation (S&I). Interventional radiology comprises various treatments these types of as percutaneous nephrostomy, aspirations and biopsies and the team handling it should be thorough with all the applicable codes and payer regulations.

Reporting Interventional Radiology Codes

Key documentation for interventional radiology include catheter insertion point, catheter end position, vessels catheterized, vessels visualized and abnormal anatomy. The catheterization codes have to generally be selected based on the access site; multiple access sites and their catheterizations have to be reported separately. The health care coder must be familiar together with the selective and non-selective arterial and venous catheterization codes and the relevant catheterization rules.

Let us consider an example to understand how distinct processes in interventional radiology are coded correctly. First of all they need to know the accurate location, type of device (internal/external), intent (diagnostic or intervention), technique (endoscopy or percutaneous) and the components that can be coded.

Consider a patient who has been brought back for the practice a few days after placement of percutaneous nephrostomy. Contrast is injected into the tube, and test says that the hydronephrosis has not resolved. The doctor removes the tube over a guidewire and replaces a ureteral stent for it. The tube is not reinserted.

The suitable CPT codes for this process are:

50394, 74425, with the nephrostogram
50393, 74480, for placement of the ureteral stent

Inside a slightly different context, when the only difference is that a new nephrostomy tube is inserted, it ought to be as follows.

50394, 74425, nephrostogram
50393, 74480, placement of ureteral stent
50398-59, 75984, nephrostomy catheter change

When it comes to marrow aspirations and biopsies, there can be similar confusions. It should be reported 38220 when only a bone marrow aspiration is performed. Use 38221 when only a bone marrow biopsy is performed. But it can be reported this way only when they are performed at different sites. When performed at the same site through the same skin incision, HCPCS G0364 has for being used.

Effective Specialty-specific Coding for Interventional Radiology

A medical coding company with long term experience and many clients to serve will have a special team of experts for each professional medical specialty to make certain correct diagnostic and procedural codes.

Interventional radiology professional medical coding services provided by such a company include: