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Coding for Vascular and Endovascular Surgery

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Principles of Coding and Reimbursement for Surgeons

Abstract

Vascular coding is a complex arena. Codes for open, percutaneous, and transcatheter procedures are delineated. Discussion regarding graft placement and endovascular treatment for occlusive disease is presented. Specifics of the nuances of reconstruction, whether abdominal aorta or peripheral vessel, are elaborated for arterial disease. The treatment and coding for venous disease is described. Specific examples regarding debridement are given with some case examples. Finally, modifiers used by vascular surgeons for coding are described.

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Notes

  1. 1.

    From a CPT coding standpoint, modifier -59 is not appended to add-on codes. If the add-on code is reported more than once, it should be reported on one line with the applicable number of units. However, some payers may require appending modifier -59 to the second and subsequent add-on codes to indicate that these add-on codes are not simply inappropriate duplicate billing. This is one of many situations in which the provider may need to confer with the specific payer to determine the required conventions.

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Authors and Affiliations

  1. Department of Vascular Surgery, University of Texas Health Science Center, San Antonio, TX, USA

    Matthew Sideman MD, FACS (Associate Professor, Society of Vascular Surgery, Representative to the AMA RUC)

  2. Patient Centered Outcomes Research Institute, Board of Governors, Division of Vascular Surgery, Dartmouth Medical Center, Lebanon, NH, USA

    Robert Zwolak MD, FACS (Professor)

Authors
  1. Matthew Sideman MD, FACS
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  2. Robert Zwolak MD, FACS
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Corresponding author

Correspondence to Matthew Sideman MD, FACS .

Editor information

Editors and Affiliations

  1. Department of Surgery, University of Utah, Salt Lake City, Utah, USA

    Mark Savarise

  2. Department of Surgery, Mercer University School of Medicine Memorial University Medical Center, Savannah, Georgia, USA

    Christopher Senkowski

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© 2017 Springer International Publishing Switzerland

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Sideman, M., Zwolak, R. (2017). Coding for Vascular and Endovascular Surgery. In: Savarise, M., Senkowski, C. (eds) Principles of Coding and Reimbursement for Surgeons. Springer, Cham. https://doi.org/10.1007/978-3-319-43595-4_23

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  • DOI: https://doi.org/10.1007/978-3-319-43595-4_23

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43593-0

  • Online ISBN: 978-3-319-43595-4

  • eBook Packages: MedicineMedicine (R0)

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