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is cinefluroscopy billable? need coding help for hospital

Cinefluoroscopy of ICD leads
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Indication: Recent VF event term by 36 J with oversensing post ICD shock in the RV lead briefly.
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The patient was brought to the EP lab. Cinefluoroscopy was performed in the RAO 5 and 35 degrees, LAO 25, and LAO 55 degrees.
The RA, RV and LV leads were all normal inappearance. Special attention was paid to the RV sensing lead. There was no evidence of lead fracture or insulation break.
*
Impression: Normal ICD lead appearance. Normal appearing Durata RV ICD lead.

Interrogation of ICD shows no new alerts. No oversensing or impedances out of range.

Recommendation: Continue routine f/u via MERLIN.
*is 76000 valid code for this procedure for hospital? or is it just for professional?
thanks in advance

Medical Billing and Coding Forum

Is there any billable charges in this scenario? Need assistance please

Hi,

I’m hoping someone can assist with this issue. I have a provider that has gone to a skilled nursing facility to review a patients records, discuss patient care with the SNF, and download information from a BIPAP machine. Is there any billable charges in this scenario?

Also, is there any billable charges when the provider has a phone conversation/encounter with the SNF to discuss patient care?

If this is a billable situation. Can you please tell me what codes should be used and what documentation needs to be done. Our provider is not affiliated with the skilled nursing facility.

Thank you in advance for any advice and assistance you can give.
Micki

Medical Billing and Coding Forum

Cesarean Section with TAP Block later in the Day Separately Billable?

Hello, if a patient has a c-section (CPT 01961 anesthesia charge), and the anesthesiolgoist visits the patient later in the day and does a TAP block CPT 64488 due to much postop abdominal pain on PCA morphine so patient concents to TAP block.

Is the TAP Block CPT 64448 separately billable in this case with modifier 59? Any advice would be greatly appreciated, thank you!

Medical Billing and Coding Forum

Second Heart Cath not billable as diagnostic with CPT 33967 IABP?

Hello,

If a patient had a diagnostic coronary angiogram 93456 and the very next day had an IABP placed 33967 and the provider is billing for another cardiac cath 93454 this time (this is all in preparation of a CABG to be done).

I feel the second day we can’t bill 93454 as the cardiac cath is not diagnostic, statement of left coronary circulation no changes post IABP (but did have full findings documented of all left coronary arteries).

Any advice would be greatly appreciated, thank you!

Medical Billing and Coding Forum