Cpt code for iliac vein stenting

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1 Search for food, products or place Near Zip code or address Search Cpt code for iliac vein stenting 3. No paper documentation is required on initial claims submission unless required by an audit or the case deserves special case-by-case review. Place information on claim form as EMC narrative where indicated in the policy, e.g., follow-up studies. to compare each DES against its bare-metal stent (BMS) equivalent. to evaluate DES expansion by comparing IVUS-measured MSD and MSA against the values predicted by compliance charts and. Reyes R, Maynar M, Lopera J, et al. Treatment of chronic iliac artery occlusions with guide wire recanalization and primary stent placement. J Vasc Interv Radiol. 1997;8(6): Performance of both non-invasive extracranial arterial studies (CPT code or 93882) and non-invasive evaluation of extremity arteries (CPT codes 93922, 93923, 93924) during the same encounter is not appropriate as a general practice or standing protocol, and therefore, would not generally be expected. Consequently, documentation must clearly support the medical necessity if both procedures are performed during the same encounter, and be available upon request. Wellons et al (2004) stated that reports have demonstrated the benefit of prophylactic inferior vena cava filter (IVCF) placement to prevent pulmonary embolism. This study evaluated the potential for the bedside placement of a removable IVCF under "real-time" IVUS guidance. A total of 20 trauma patients underwent intensive care unit placement of a removable IVCF with IVUS guidance. All patients had ultrasonography of the femoral veins after placement to rule out postprocedure femoral vein thrombosis and radiographs to identify filter location. Nineteen of 20 IVCFs were placed at approximately the L2 level as verified by radiography. One patient had a large IVC (34 mm) and underwent bilateral common iliac IVCF placement under IVUS. Within 3 weeks of placement, 12 IVCFs were retrieved. Of the remaining 8 patients, 6 had indications for permanent implantation, 2 had contralateral deep venous thrombosis, and 1 had ipsilateral deep venous thrombosis. The authors concluded that bedside insertion of a removable IVCF with IVUS guidance and its removal are simple, safe, and accurate. However, if the facility has a documented process for grand-fathering experienced technicians who have performed the services referenced in this LCD (a process addressing years of service and experience with number of supervised cases), this documentation should be available upon request; otherwise the provider must have documentation available upon request which indicates that the technician meets the credentialing requirements as stated above or is in the process of obtaining this credentialing. Medicare Payments, Reimbursement, Billing Guidelines, Fees Schedules, Eligibility, Deductibles, Allowable, Procedure Codes, Phone Number, Denial, Address, Medicare

2 Appeal, EOB, ICD, Appeal. Akers DL, Jr., Creado B, Hewitt RL. Iliac vein compression syndrome: Case report and review of the literature. J Vasc Surg. 1996;24: Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline,. Kogel H. Regarding 'Iliac vein compression syndrome: Case report and review of the literature'. J Vasc Surg. 1997;26(4): Discordant atrioventricular connection [status post Mustard or Senning repair]. All non-invasive vascular diagnostic studies must be: (1) performed by a qualified physician, or (2) performed under the general supervision of a qualified physician by a technologist who has demonstrated minimum entry level competency by being credentialed in vascular technology, and/or (3) performed in a laboratory accredited in vascular technology. Titus JM, Moise MA, Bena J, et al. Iliofemoral stenting for venous occlusive disease. J Vasc Surg. 2011;53(3): Aetna considers the clinical application of IVUS experimental and investigational for any of the following (not an all-inclusive list) because its use for these indications has not been validated by clinical studies:. Acute embolism and thrombosis of iliac vein [iliofemoral thrombosis secondary to iliac compression syndrome]. Aetna considers the clinical application of IVUS experimental and investigational in screening for coronary artery disease, diagnosing coronary vulnerable plaques, and its use in other coronary procedures because its effectiveness for these indications has not been established. Elson JD, Becker GJ, Wholey MH, et al. Vena caval and central venous stenoses: Management with Palmaz balloon-expandable intraluminal stents. J Vasc Interv Radiol. 1991;2(2): Guidance during endovascular treatment of subclavian artery disease. The above policy is based on the following references:. NONINVASIVE PHYSIOLOGIC STUDIES OF LOWER EXTREMITY ARTERIES, AT REST AND FOLLOWING TREADMILL STRESS TESTING, (IE, BIDIRECTIONAL DOPPLER WAVEFORM OR VOLUME PLETHYSMOGRAPHY RECORDING AND ANALYSIS AT REST WITH ANKLE/BRACHIAL INDICES IMMEDIATELY AFTER AND AT TIMED INTERVALS FOLLOWING PERFORMANCE OF A STANDARDIZED PROTOCOL ON A MOTORIZED TREADMILL PLUS RECORDING OF TIME OF ONSET OF CLAUDICATION OR OTHER SYMPTOMS, MAXIMAL WALKING TIME, AND TIME TO RECOVERY) COMPLETE BILATERAL STUDY. - Blunt or penetrating trauma of the extremities (including complications of diagnostic and/or therapeutic procedures of an extremity). Witte AM, Kool LJ, Veenendaal R, et al. Hepatic vein stenting for Budd- Chiari syndrome. Am J Gastroenterol. 1997;92(3): Witte AM, Kool LJ, Veenendaal R, et al. Hepatic vein stenting for Budd-Chiari syndrome. Am J Gastroenterol. 1997;92(3): Lou WS, Gu JP, He X, et al. Endovascular treatment for iliac vein compression syndrome: A comparison between the presence and absence of secondary thrombosis. Korean J Radiol. 2009;10(2): : Endovascular repair of the visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including one visceral artery endoprosthesis (superior mesenteric, celiac, or renal artery). National Institute for Clinical Excellence (NICE). Stent placement for vena caval obstruction. Interventional Procedure Guidance 79. London, UK: NICE; July The new codes des. A set of eight new codes will be available to report fenestrated endograft repair of the abdominal and visceral aorta (FEVAR). Four codes describe the placement of a fenestrated device to treat the visceral aorta only,

3 and four codes describe placement of a fenestrated device that extends across the visceral aorta and into the infrarenal aorta and/or iliac(s). Unlike the existing codes for EVAR, these new codes bundle additional components of the work of the procedure into a single code. Selective catheterization of the aorta and visceral arteries, stenting of any visceral vessels, and the radiologic supervision and interpretation are all included in the work of the FEVAR codes (and not separately reported as they are with the other abdominal and thoracic EVAR codes). As with the other EVAR codes, any angioplasty and/or stenting performed within the target treatment zone of the endograft is included in the work described by the FEVAR codes. STOP-PAD Trial Evaluates Juventas' JVS-100 Gene Therapy for Wound Healing. Congenital stenosis of vena cava [congenital stenosis of vena cava (inferior) (superior)]. Stenosis of vascular prosthetic devices, implants and grafts [arteriovenous dialysis access grafts]. Get ready for the changes effective January 1. Irving JD, Dondelinger RF, Reidy JF, et al. Gianturco self-expanding stents: Clinical experience in the vena cava and large veins. Cardiovasc Intervent Radiol. 1992;15(5): Aetna considers placement of balloon-expandable venous stents with or without initial thrombolysis or surgical thrombectomy medically necessary for any of the following indications:. Discordant atrioventricular connection [status post Mustard or Senning repair]. Information in the [brackets] below has been added for clarification purposes. &nbspcodes requiring a 7th character are represented by "+": Marston WA, Criado E, Jaques PF, et al. Prospective randomized comparison of surgical versus endovascular management of thrombosed dialysis access grafts. J Vasc Surg. 1997;26(3): We use cookies to offer a better user experience and to analyze site traffic. To comply with the European General Data Protection Regulation (GDPR), we are implementing a cookie consent manager to provide residents of the EU/EEA with the ability to customize their cookies. Until this is available, your continued use of this site will be deemed as consent to use of cookies. If diagnostic angiography is performed at the same time the decision to treat is made and treatment is also performed, a catheterization code for the diagnostic angiogram may be additionally reported if the diagnostic study was performed from a puncture/vessel access separate from that used to perform the intervention. However, if diagnostic angiography was performed from the same vessel access as the intervention, the vessel access is included in the code(s) describing the intervention. In this case, the catheterization code would not be reported separately, but the radiological supervision and interpretation code(s) for the diagnostic study would be reported separately. When diagnostic angiography is performed at the same time as a lower extremity revascularization procedure, the modifier -59 should be added to the radiological supervision and interpretation codes and (if a separate access is used) to the catheterization code to denote that this work was performed and meets all of the coding requirements : Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance : including four or more visceral artery endoprostheses (superior mesenteric, celiac, and/or renal artery[s]). Chiriano J, Teruya TH, Zhang WW, et al. Treatment of superior mesenteric artery portal vein fistula with balloon-expandable stent graft. Ann Vasc Surg. 2009;23(1): Trerotola SO, Lund GB, Samphilipo MA, et al. Palmaz stent in the treatment of central venous stenosis: Safety and efficacy of redilation. Radiology. 1994;190: By Gabriele Piffaretti, MD, PhD; Gianpaolo Carrafiello, MD; Filippo Piacentino, MD; and

4 Patrizio Castelli, MD, FACS. Post-operative venous narrowing due to repair of sinus venosus atrial septal defect (ASD); or Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography 07/01/2013 Diagnostic Cardiac Heart Catheterizations. Angiograms of the individual cardiac chambers will be reimbursed based on medical necessity. Notice: This LCD imposes diagnosis limitations that support diagnosis to procedure code automated denials. However, services performed for any given diagnosis must meet all of the indications and limitations stated in this LCD, the general requirements for medical necessity as stated in CMS payment policy manuals, any and all existing CMS national coverage determinations, and all Medicare payment rules. - Rest pain of ischemic origin(typically including the forefoot), associated with absent pulses, which becomes increasingly severe with elevation and diminishes with placement of the leg in a dependent position. Aortography is reimbursable only for diagnoses of aortic root disease, valvular heart disease or congenital heart disease. It is not reimbursable for atherosclerotic heart disease. Angiograms to visualize the coronary ostia are included as part of coronary angiography. A diagnosis of "rule out (valvular lesion)" is not reimbursable. Coronary angiography includes arteriograms of all the coronary arteries and their branches, regardless of the number of vessels visualized. Coronary angiography includes angiograms done with the administration of medications for diagnostic purposes (e.g., ergonovine, nitroglycerin) as part of the procedure. The selective injection procedures may be performed without a formal left heart catheterization. This is the introduction of catheter(s) into the aorta, left ventricle and left atrium and includes cannulation of the coronary arteries and bypass grafts. It includes hemodynamic measurements, blood sampling and shunt determinations as part of the procedure. Placement of multiple catheters and their repositioning or replacement is included in this procedure. Injection procedures for selective opacification of arteries and conduits are separately reimbursable. The advantages of these devices include more rapid hemostasis and earlier patient ambulation after the angiographic or cardiac procedure, allowing more of these procedures to be performed as outpatient services. They also reduce the amount of physician time spent compressing an artery and monitoring a patient post-angiography or catheterization. These services are not separately payable with diagnostic cardiac catheterization procedures. Several PVCDs have been approved by the FDA: Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed 07/01/2013 Diagnostic Cardiac Heart Catheterizations. Medicare claim address, phone numbers, payor id - revised list. angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed $ Binkert CA, Schoch E, Stuckmann G, et al. Treatment of pelvic venous spur (May-Thurner syndrome) with self-expanding metallic endoprostheses. Cardiovasc Intervent Radiol. 1998;21(1): Rerksuppaphol S, Hardikar W, Smith AL, et al. Successful stenting for Budd-Chiari syndrome after pediatric liver

5 transplantation: A case series and review of the literature. Pediatr Surg Int. 2004;20(2): Procedure code Limited bilateral noninvasive physiologic studies of upper or lower arteries (e.g. for lower e Elson JD, Becker GJ, Wholey MH, et al. Vena caval and central venous stenoses: Management with Palmaz balloonexpandable intraluminal stents. J Vasc Interv Radiol. 1991;2(2): Medicare Fee for Office Visit CPT Codes - CPT Code 99213, 99214, Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed 07/01/2013 Diagnostic Cardiac Heart Catheterizations. Transcutaneous oxygen tension measurements (Tp02) are utilized in conditions for which hyperbaric oxygen therapy (HBO) is being considered, as well as for monitoring the course of HBO therapy. The following conditions are considered medically indicated uses for Tp02 testing prior to, and during the course of HBO therapy: Hood DB, Alexander JQ. Endovascular management of iliofemoral venous occlusive disease. Surg Clin North Am. 2004;84(5): , viii. This procedure is done in a cardiac catheterization laboratory or interventional radiology laboratory and does not include a "bedside placement" of a flow directed (Swan-Ganz type) catheter. - Diagnostic left heart catheterization (ventriculography only): procedure code Cardiac catheterization requires personal (in person) supervision of its performance by a physician. When performed in a teaching setting, the teaching physician must be present with the resident throughout the procedure. The performance by the resident alone would not establish a basis for fee schedule payment for such services. Superior or inferior vena caval stenosis in a TEEN or adult; or. Noninvasive physiologic studies are performed using equipment separate and distinct from the duplex scanner. Duplex scanning combines the information provided by twodimensional imaging with pulsed-wave doppler techniques which allows analysis of the blood flow velocity. Post-operative venous narrowing due to repair of sinus venosus atrial septal defect (ASD); or.