Multiple families of new and/or revised CPT codes take effect January 1, 2014. This month’s article will introduce those changes to help you and your practice prepare for the necessary changes.

1. Cpt Code For Vein Patch

More in-depth discussion of some of these codes will be presented in future columns. VASCULAR STENTING New codes were developed that bundle the surgical and radiologic portions of stent procedures into a single code. There are two new pairs of codes, one for arterial stents and one for venous stents. These codes are reported per vessel treated rather than per stent placed. For dialysis access treatment coding purposes, the definition of “vessel” is different than the anatomical definition and should be reviewed in the CPT manual to ensure correct reporting. Each pair of stent codes has a parent code used to report the first vessel treated, with an add-on code for reporting additional stented vessels during the same procedure. The arterial stent codes apply to any artery that does not have an anatomy-specific CPT code (carotid, iliac and infrainguinal, intracranial, coronary, and vertebral arteries have specific stent placement codes).

Any ballooning performed to treat the stented vessel (before, during, or after stent placement) is included in the work of the stent codes and is not separately reported. Selective catheterization of the vessel(s) is not included in the work described by the stent codes and is separately reported. In addition, ultrasound guidance for vessel puncture and intravascular ultrasound are not included in the work of these codes. Covered stents placed to treat aneurysms (eg, popliteal aneurysms), pseudoaneurysms, or extravasations are coded with these new stent codes (with the exception of aortic and iliac aneurysms, which are reported with codes specific for endovascular repair of aneurysms in those anatomic sites).

Stents placed to create latticework for facilitating coil embolization are reported with embolization codes and should not be reported with the new stent codes.

Need help coding this report please. She was laid supine and was given general anesthesia. Left arm was prepped and a sharp incision through the previous incision in the medial aspect of the arm above the antecubital fossa was made. Almost immediately, there was a graft that was poking through the skin.

I followed this down to the brachial artery which was totally encased in the scar tissue. I extended my incision proximally and distally to get around clean brachial artery. 6000 units of heparin was given. I was able to dissect free the heavy amount of scar tissue.

I excised the graft in its entirety, however, I was not able to get down a clean arterial wall due to all the scar tissue. Using ultrasound, I identified a piece of cephalic vein in the arm lateral to my previous incision. I went ahead and made about 6 cm incision here and harvested a piece of cephalic vein. This was adequate length for patch.

I then opened up the brachial artery itself through this are of lymphatic scar tissue. I made sure we had all the grafts removed from the wall and were on clean tissue. I then sewed on the patch with 6-0 Prolene suture. I allowed back bleeding flush for complete anastomosis.

There was a good signal in ulnar and the palmar arch. I went ahead and irrigated with antibiotic irrigation. Closed with multiple layers of 3-0 Vicryl sutures followed by nylon for the skin. Thanks in advance for the help. Close Message In addition to full participation on AAPC forums, as a member you will be able to:.

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Cpt Code For Vein Patch

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