Thank you everyone will digest and regurgitate at 6:00 PM when day is done and submitting my billing,Oh and my 1:00 patient a prior iliac angioplasty and bil CFA Atherectomy!!! Rescheduled,, Denise On Wednesday, June 29, 2016, Steve Knight <[log in to unmask]> wrote: > Correct on the Ax-fem: > 93931, 93926 and 93922 (but cw and/or pvr waveforms of both arms) > > On Wed, Jun 29, 2016 at 2:08 PM, Jeff Stanley <[log in to unmask] > <javascript:_e(%7B%7D,'cvml',[log in to unmask]);>> wrote: > >> Ya definitely don’t wanna leave money on the table. >> >> In our lab we go back and forth between 93979 and 93926. Never really >> thought of both. >> >> For a right ax-fem-fem: You would then use 93931 and 92926? >> >> >> >> *From:* UVM Flownet [mailto:[log in to unmask] >> <javascript:_e(%7B%7D,'cvml',[log in to unmask]);>] *On Behalf Of >> *Steve Knight >> *Sent:* Wednesday, June 29, 2016 3:59 PM >> >> *To:* [log in to unmask] >> <javascript:_e(%7B%7D,'cvml',[log in to unmask]);> >> *Subject:* Re: Aorta iliac gem to gem and bil LEA >> >> >> >> Jeff the origin of a fem-fem is typically the femoral artery (hence it's >> name - Bazinga! - but you're a tough Preds fan so you will get over that >> jab). >> >> Since the femoral artery is a peripheral artery, it follows that one >> needs to code its evaluation with 93926 (or -25) in addition to the inflow >> (93979). >> >> To exclude the 93926 would, in my humble opinion, leave earned money on >> the table. >> >> >> >> If the bypass was from the iliac to the controlateral femoral then I >> would omit 93926. >> >> >> >> ~S >> >> >> >> On Wed, Jun 29, 2016 at 1:51 PM, Jeff Stanley <[log in to unmask] >> <javascript:_e(%7B%7D,'cvml',[log in to unmask]);>> wrote: >> >> So Steve, if I scan the aorta, right iliac artery system, a right to left >> fem-fem, outflow left CFA and nothing else more distal, then I can submit >> 93979 and 93926? We do add the ABI/93922 as you mentioned. For fem-fems >> we bill 93979, with the thinking that it is an iliac artery bypass. >> >> >> >> *Jeff Stanley BS, RVT* >> *Vascular Lab Manager* >> THE SURGICAL CLINIC, PLLC >> 356 24th Ave North, Suite 300 >> Nashville, TN 37203 >> Phone: 615.301.5261 | Fax: 615.320.3662 >> www.TSClinic.com >> >> >> >> >> >> >> >> *From:* UVM Flownet [mailto:[log in to unmask] >> <javascript:_e(%7B%7D,'cvml',[log in to unmask]);>] *On Behalf Of >> *Steve Knight >> *Sent:* Wednesday, June 29, 2016 3:35 PM >> *To:* [log in to unmask] >> <javascript:_e(%7B%7D,'cvml',[log in to unmask]);> >> *Subject:* Re: Aorta iliac gem to gem and bil LEA >> >> >> >> A fem to fem is a lower extremity arterial study. >> >> You can bill for the inflow as a 93979 (unilateral/ limited) and then the >> fem-fem which would be either a 93926 if you only studied the graft and >> it's outflow or a 93925 if you did a complete bilateral study. And of >> course ankle waveforms/pressures can also be tacked on (93922). >> >> If your facility buys the coding advisor from SVU you will be able to >> maximize your reimbursement which is particularly troublesome when billing >> for multiple procedures on the same visit. A link is found here: >> http://www.svunet.org/practicemanagementmain/advisoryservices/codingsoftware >> >> >> >> ~S >> >> >> >> On Wed, Jun 29, 2016 at 1:27 PM, Denise Levy <[log in to unmask] >> <javascript:_e(%7B%7D,'cvml',[log in to unmask]);>> wrote: >> >> Hi, billing question,, >> >> Had to combine aorta iliac for a fem to fem >> >> 93978 >> >> Bil legs 93925 >> >> >> >> I usually only bill for the 93978 with fear of them paying the lesser of >> the two, I know this had been discussed, can someone get back to me with 4 >> hours? The staff messed up today with 2 patients Thanks Denise >> >> >> >> -- >> Sent from Gmail Mobile >> To unsubscribe or search other topics on UVM Flownet link to: >> http://list.uvm.edu/archives/uvmflownet.html >> >> >> >> To unsubscribe or search other topics on UVM Flownet link to: >> http://list.uvm.edu/archives/uvmflownet.html >> >> This message is intended only for the use of the individual(s) to whom it >> is addressed and contains information that is privileged, confidential, and >> exempt from disclosure under applicable law. Any further dissemination or >> copying of this communication is strictly prohibited. If you have received >> this communication in error, please notify us immediately by telephone or >> email as listed in our signature above. This message is provided in >> accordance with the HIPAA Omnibus Rule of 2013. >> >> To unsubscribe or search other topics on UVM Flownet link to: >> http://list.uvm.edu/archives/uvmflownet.html >> >> >> >> To unsubscribe or search other topics on UVM Flownet link to: >> http://list.uvm.edu/archives/uvmflownet.html >> This message is intended only for the use of the individual(s) to whom it >> is addressed and contains information that is privileged, confidential, and >> exempt from disclosure under applicable law. Any further dissemination or >> copying of this communication is strictly prohibited. If you have received >> this communication in error, please notify us immediately by telephone or >> email as listed in our signature above. This message is provided in >> accordance with the HIPAA Omnibus Rule of 2013. >> To unsubscribe or search other topics on UVM Flownet link to: >> http://list.uvm.edu/archives/uvmflownet.html >> > > To unsubscribe or search other topics on UVM Flownet link to: > http://list.uvm.edu/archives/uvmflownet.html -- Sent from Gmail Mobile To unsubscribe or search other topics on UVM Flownet link to: http://list.uvm.edu/archives/uvmflownet.html