Health Information Management

Tip of the Week: Understand how to code and bill common IR procedures

APCs Insider, September 14, 2007

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

In order to code and bill for interventional radiology (IR) procedures, coders must focus on the three steps that physicians perform. These include:

1. Placement of the catheter

2. Injection of the contrast agent

3. Interventional procedures

Other guidelines that coders should follow when reporting interventions during IR procedures include the following:

  • Code for each vessel that a physician separately treats with a stent.
  • Oftentimes, a physician places a stent directly onto an angioplasty balloon and inflates the balloon as a means to place the stent. Do not code this procedure separately, because it is considered stent placement.
  • As with all interventional studies, code the catheter placement into the first, second, and third order vessel-in addition to the intervention that the physician performs-in order to receive full reimbursement.

    (The above tip appeared in the October 2007 issue of Briefings on APCs).

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular