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Accurate clinical coding is significant in a very detailed billing cycle. It should be dealt with with utmost care to guarantee greatest reimbursement with the health practitioner. For just a healthcare specialty such as interventional radiology, the coding is very intricate with varied prognosis and treatmentadditional reading     strategies, specially with regard to radiologic supervision and interpretation (S&I). Interventional radiology comprises several procedures such as percutaneous nephrostomy, aspirations and biopsies and the team handling it ought to be comprehensive with all the applicable codes and payer regulations.

Reporting Interventional Radiology Codes

Key documentation for interventional radiology include catheter insertion point, catheter end position, vessels catheterized, vessels visualized and abnormal anatomy. The catheterization codes have to get selected based on the access site; multiple access sites and their catheterizations have being reported separately. The professional medical coder must be familiar using the selective and non-selective arterial and venous catheterization codes and the relevant catheterization rules.

Let us consider an example to understand how distinct treatments in interventional radiology are coded correctly. First of all they need to know the accurate location, type of device (internal/external), intent (diagnostic or intervention), technique (endoscopy or percutaneous) and the components that can be coded.

Consider a patient who has been brought back towards the practice a few days after placement of percutaneous nephrostomy. Contrast is injected on the tube, and test says that the hydronephrosis has not resolved. The health practitioner removes the tube over a guidewire and replaces a ureteral stent for it. The tube is not reinserted.

The accurate CPT codes for this method are:

50394, 74425, for your nephrostogram 50393, 74480, for placement of the ureteral stent

Inside a slightly different context, when the only difference is that a new nephrostomy tube is inserted, it should be as follows.

50394, 74425, nephrostogram 50393, 74480, placement of ureteral stent 50398-59, 75984, nephrostomy catheter change

When it comes to marrow aspirations and biopsies, there can be similar confusions. It should be reported 38220 when only a bone marrow aspiration is performed. Use 38221 when only a bone marrow biopsy is performed. But it can be reported this way only when they are performed at different sites. When performed at the same site through the same skin incision, HCPCS G0364 has to be used.

Effective Specialty-specific Coding for Interventional Radiology

A health-related coding company with long term experience and many clients to serve will have a special team of experts for each health care specialty to ensure accurate diagnostic and procedural codes.

Interventional radiology professional medical coding services provided by these a company include:

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