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Please help. I am new to radiology coding Sclerotherapy 36465 ect

codes 36465, 36470 ect state include preliminary imaging, ultrasound guidance, and follow up imaging after therapy

My question is; Dr is doing initial consult and an ultrasound on Day 1
Day 4, pt comes in and has surgery.

What can Dr bill for on Day one? Does he only bill for the Consult code since the surgery code says"includes preliminary imaging" and he not bill for ultrasound even though ultrasound was done on patient? Or does he bill consult code and for ultrasound?

Thanks so much for your help,

Sherry

Medical Billing and Coding Forum

Sclerotherapy of left shoulder lymphangioma.

This is a new one to me.

Patient was placed in a semi-sitting position. The area was then prepped and draped in standard surgical fashion. I proceeded to infiltrate local anesthesia at the site where a large gauge needle that was attached to a 3 way stopcock used to aspirate the fluid from the lymphangioma which completely collapsed the cavity. I had already secured a 10 cc syring of 100 mg of Doxycycline and 10 cc of saline into that syringe. This as then used to instill about 8 cc of Doxycycline at this concentration back into the cavity. Once this was completed the needle was then withdrawn. The area was then cleaned and dried and a sterile dressing was then applied. Patient tolerated the procedure well. I have asked him to reduce his activity over the next couple of days. He is to follow back up in a month to reevaluate. We may proceed with another sclerotherapy treatment.

Any takers????? Thanks in advance.

Medical Billing and Coding Forum

Sclerotherapy and office visit on the same day

Good morning,
We used to be able to bill Sclerotherapy CPT 36471 with office visit 99214 on the same day. We use 24 modifier with office visit since Sclerotherapy has 10 global period. But I just received rejection from commercial payer with denial explanation that my claim is inconsistent with coding protocol.
Anyone has similar experience and if so how do you code it? Thank you

Medical Billing and Coding Forum

Sclerotherapy with injection of Sotradecol 1%

I’m new to coding for sclerotherapy and need a little guidance.

My provider performed sclerotherapy, which I have cpt:36471, using Sotradecol 1%. 2mL of .25% was used for the procedure. I have found that J3490 needs to be used for the Sotradecol, but I’m questioning how many units should be billed for this? Do you normally bill the sclerosant with the Sclerotherapy? And, can we bill the waste for this drug?

Thank You

Medical Billing and Coding Forum

Sclerotherapy of Fluid Collection Coding

Code 49185 Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed describes sclerotherapy of a fluid collection, such as a lymphocele,
AAPC Knowledge Center