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UVMFLOWNET  May 2003

UVMFLOWNET May 2003

Subject:

Re: Coding for Pre-Op Hemodialysis Access

From:

"David Fox, MD" <[log in to unmask]>

Reply-To:

UVM Flownet <[log in to unmask]>

Date:

Thu, 15 May 2003 13:55:00 -0700

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text/plain

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text/plain (120 lines)

If you bill for the venous exam (unilateral or
bilateral) you can use 585 or 996.73.

On Thu, 15 May 2003 15:00:06 -0500, Brian Hembling
wrote:Message-Id:
From: Brian Hembling
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Subject: Coding for Pre-Op Hemodialysis Access
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Coding question: Pre-Op Hemodialysis Access ICD-9
codes.  (when performing any of the
following cpt's 93922, 93923, 93970, 93971)

Does anyone know which icd-9 codes would be
appropriate for a first time patient who is undergoing
mapping
for HDAG or Fistula placement?

V72.83 appears to be the only pre-opertive code
"covered" by medicare (trailblazer) in Texas (DC,
Delaware and Maryland)
for the venous portion.  However, this seems to be
limited to pre-op vein
mapping for CABG or peripheral bypass.  Is it ok to use
v72.83 as the
code for the venous mapping for pre-op HDAG?

There are no
appropriate "covered" V codes on the trailblazer site
for the arterial
portion...

V56.31 appears to be the indication/diagnosis code
for pre-operative Hemodialysis access...however it is
not listed on their
website in the "covered" section in the arterial or
venous policies.
Does this mean they do not pay for pre-op
evaluation of arteries and veins for hemoaccess
surgery?  This would seem
unreasonable since they have mandated that at least 50%
of all hemoacces be
primary fistula's.

Any Thoughts, experiences?

-Brian


____________________________________________________
Brian P. Hembling, BS, RVT
Technical Director,
Baptist Vascular Center



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