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PRESENTATION TITLE:
Coding Interventional “Special Procedures”
GOAL
To improve participants’ understanding of coding guidelines for percutaneous urinary, biliary, and gastrointestinal procedures performed by interventional radiologists.
OBJECTIVES
1. Review the relevant anatomy and procedure techniques for percutaneous urinary, biliary, and GI procedures performed by interventional radiologists.
2. Discuss coding guidelines for percutaneous urinary, biliary, and GI procedures, including antegrade pyelography, percutaneous nephrostomy, ureteral stent placement, cholangiography, internal and external biliary drainage, and gastrostomy and gastrojejunostomy tubes.
3. Review bundling edits relevant to urinary, biliary, and GI procedures, and identify situations in which it is appropriate to use modifiers.
ABSTRACT:
Nonvascular procedures like biliary drainage can be challenging for even experienced coders due to the many possible procedure combinations and the ever-changing bundling edits.
Relevant anatomy for each system will be briefly reviewed, followed by an in-depth discussion of coding guidelines. Commonly performed procedures in each system will be discussed, including procedure technique, relevant codes, key documentation elements, and reimbursement issues. Bundling edits will be discussed in depth and common procedure combinations will be reviewed, and participants will learn to identify the situations in which a modifier should be used to tell the payor that two procedures were separate and distinct.
Procedures to be covered during this session include but are not limited to the following: Antegrade pyelography; percutaneous nephrostomy; insertion, replacement, and removal of ureteral stents; percutaneous and T-tube cholangiography; placement of external, internal-external, and completely internal biliary drainage tubes and stents; percutaneous gastrostomy and gastrojejunostomy; and tube changes.
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