Presented by Lori Dafoe, CPC.  CPT Chapter Notes CPT Assistant Articles  Laminated, color coded vascular charts Medlearn/Panacea Medical Asset Management.

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Presentation transcript:

Presented by Lori Dafoe, CPC

 CPT Chapter Notes CPT Assistant Articles  Laminated, color coded vascular charts Medlearn/Panacea Medical Asset Management  National Correct Coding Initiative (NCCI) Edits  Vascular Web  Excellent physician documentation!

 If the documentation records an open surgery directly at the aneurysm site, see CPT to report.

 Femoral Artery:  Femoral Artery (Bilateral):  Iliac Artery (Unilateral):  Iliac Artery (Bilateral):

 Aorta alone (no selective catheterization):  Aorta Bilateral (Identifies accessing aorta via both legs):  Aorta + 1 St Order Vessel (eg, renal artery) via different access points (Both legs): and 36245

 Tube:  Modular Bifurcated:  Unibody Bifurcated: (Note: Only one of these codes should be reported.)

Examples include:  S&I for Repair: CPT  Extension Cuffs: CPT and  S&I for extension cuffs: CPT  Balloon angioplasty outside endograft: or or  Arterial Occlusion or Embolization: 37204

Aortic Extender Iliac Extender

 Tube prosthesis: CPT  Aorto-bi-iliac prosthesis: CPT  Aorto-bifemoral prosthesis: CPT 34832

 Step #1: Is this an endovascular repair, or an open repair?  Step #2: Was there open surgical exposure of an artery?  Step #3: What catheters were introduced into the aorta or aortic branches?  Step #4: What type of device was used for the repair?  Step #5: Were other separately reportable services provided?  Step #6: Was the endovascular repair converted to an open procedure?