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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

Unsuccessful Attempts at Crossing Lesion

I have a procedure report I am trying to code and I am not sure of the guidelines when the provider has unsuccessful attempts at crossing the lesion. I would like to code for the work for attempting to cross the lesion, but am unsure if this is appropriate or not. Here is the documentation:

"Patient was given 5000 and then +1000 6000 total of IV heparin, with the sheath in the proximal superficial femoral artery on the left side and the pigtail catheter and the descending aorta I tried to pass the wire it looks like with adjacent shaft forming of the wire it was going somewhere into the iliac artery. It was exchanged with the woolly wire however it did not cross into the aorta somewhere it appears to be subintimal. Then I exchanged the pigtail catheter was 7 French 90 cm pedicle from the brachial artery to the descending aorta and tried to pass antegrade and it is again not crossing into the channel. After trying for almost an hour and half I decided to stop it. Noted this time compared to the initial picture and there is some filling of the external iliac artery was noted there was now dye extravasation was seen. I decided to stop the procedure and plan to bring him back to reevaluate him in 2 weeks weeks"

Medical Billing and Coding Forum

can CPT 22212 and 22214 be billed together? Ostetomy crossing areas

Hi, I need some clarification on osteotomy coding. I’ve got 2 questions, please see below.

I have a record that reflects Smith-Petersen osteotomies taking place at T10-T11, T11-T12, T12-L1, L1-L2. So I have 5 vertebra, 4 interspaces. The CPT description reflects "Vertebral segment", so I’m thinking that I should have a total of 5 units billed total. (T10, T11, T12, L1, and L2)

22214 has an RVU of 43.10.
22212 has an RVU of 42.94.

FIRST QUESTION:
*22214 has the higher RVU, so should the coding reflect 22214 x 1 then 22216 (add-on) x 4?
*Or is it 22214 x 1, 22212-59 x 1, 22216 x 3?

SECOND QUESTION:
Am I correct in 5 units total or is it only counted based on interspaces, even though the code descriptor shows vertebral segment?

Thanks in advance, and if you have anything (links, etc) to support your response I’d greatly appreciate it!

Medical Billing and Coding Forum

Telehealth Crossing Its Last Frontier in Texas

After years of litigation, telehealth may soon be fully implemented in Texas. Legislation moving through the statehouse in Austin will legalize the “modern form” of telehealth. Texas is the last state to legalize the computerized service available in the rest of the country. If this bill is signed into law, patients will be able to […]
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