Venous access is reported with 77001 and can be found

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venous access is reported with 77001 and can be found by looking in the CPT® Index for Fluoroscopy/Venous Access Device directing you to 36598, 77001. The correct code for fluoroscopy is 77001. Modifier 26 is necessary to show the professional service only. Question 16 4 out of 4 points What is included in all vascular injection procedures? Selected Answer: a. Necessary local anesthesia, introduction of needles or catheters, injection of contrast media with or without automatic power injection and/or necessary pre-and post-injection care specifically related to the injection procedure. Correct Answer: a.
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Necessary local anesthesia, introduction of needles or catheters, injection of contrast media with or without automatic power injection and/or necessary pre-and post-injection care specifically related to the injection procedure. Response Feedback: Rationale: CPT® guidelines for Vascular Injection Procedures indicate the above listed in D as being included. Question 17 4 out of 4 points The cardiologist advances a 6 French catheter into the left renal artery via a right common femoral puncture. It is selectively catheterized and angiographic films are taken. The catheter was then removed and a diagnostic guiding type, RDC catheter was used and the left renal artery was selectively engaged. A 0.014 Supracore wire was used and the lesion was crossed. A 6.0 X 18 mm balloon expandable Racer stent was introduced. This was expanded around 8 atmospheres of pressure which is nominal. Angiography revealed excellent results with no residual stenosis. Selected Answer: c. 36245-LT, 37236 Correct Answer: c. 36245-LT, 37236 Respons e Feedbac k: Rationale: The left renal artery is a first order vessel as noted in Appendix L of the CPT® codebook (36245-LT). To locate the selective catheterization, look in the CPT® Index for Artery/Abdomen/Catheterization 36245-36248. Angiography of the left renal vessel was performed; however, there is no mention in the report of the results of the angiography. This is not a diagnostic angiography, rather it is angiography for mapping (checking out known stenosis). The stent was deployed (37236) in the left renal artery; this code also includes the radiologic supervision and interpretation. In the CPT® Index look for Stent/Placement/Transcatheter/Intravascular which directs the coder to 37215- 37218, 37236-37239. Follow-up renal angiography is bundled with the stent procedure. Question 18 4 out of 4 points Patient undergoes a three artery CABG. A surgical assistant procures the artery used for the grafts. What CPT® code(s) is/are reported for the assistant surgeon. Selected Answer: c. 33535-80 Correct Answer: c. 33535-80 Response Feedback : Rationale: Procurement of the arterial conduit is bundled into 33535 and reported with modifier 80 for the surgical assistant according to the guidelines. An add-on code, 35600, is used for harvesting an artery of the upper extremity; however, there is no mention of this in the report. The guidelines in the codebook above 33535 instruct you to use modifier 80 when a surgical assistant performs an arterial graft procurement. Look in the CPT® Index for Coronary Artery Bypass
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