On Demand: Vascular Coding Series 3: Open Vessel Procedures-Webinar Recording

Video Transcription

Video Summary

In the webcast presented, a comprehensive overview of vascular surgery coding is discussed. The presenter explains the coding process for various procedures, such as vascular bypass grafts, hemodialysis access and AV fistulas, and the repair of aneurysms. They stress the importance of distinguishing between inflow and outflow arteries when coding bypass grafts. Additionally, the presentation covers procedures included in bypasses, such as endarterectomies and thrombectomies, which are not separately billable if they occur at the bypass site. <br /><br />The discussion highlights the correct coding practices for open thrombectomies, aneurysm repair, and other related procedures, emphasizing the necessity of choosing appropriate codes based on the specific clinical scenario. The presenter also touches on the issue of modifiers, particularly the 22 modifier, suggesting when and how to use them effectively. <br /><br />Case examples are provided to illustrate the application of various CPT codes in real-world surgical scenarios, showing how documentation details, such as the mention of extensive procedures or separate incisions, influence code selection. The webcast also offers advice on ensuring medical necessity through clear documentation and provides guidelines for dealing with complex billing scenarios related to post-operative complications or revisions. <br /><br />Participants are encouraged to maintain open communication with providers to improve documentation practices and ensure coding accuracy, which is vital for compliant and optimal reimbursement.

Keywords

vascular surgery coding

bypass grafts

hemodialysis access

AV fistulas

aneurysm repair

inflow arteries

outflow arteries

endarterectomies

thrombectomies

modifiers

CPT codes

medical necessity