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Procedure Practice 01/15/98 - Feature Article 01/15/98

Procedure Practice 01/15/98:
Coding Recommendations

Listed below are the ICD-9-CM diagnosis and procedure codes as well as the CPT-4 procedure codes that we think properly classify this episode of treatment. Please note that modifiers, used only for physician billing purposes, have not been assigned to the CPT-4 codes.

Suggested Code Assignments

Diagnosis

444.22, Arterial embolism or thrombosis of the lower extremity, including femoral, peripheral NOS, or popliteal.

Procedure

ICD-9-CM

39.29, Other peripheral vascular shunt or bypass, femorotibial, anterior or posterior.

88.48, Arteriography of the femoral and lower extremity arteries.

CPT-4

35566, Bypass graft, with vein, femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessel.

36140, Intra-arterial-intra-aortic introduction of needle or intracatheter; extremity artery.

Bibliography - References:
Aldridge, Samuel MD and Anderson, Robert, MD "An Overview of Vascular Procedures," educational presentation, Lakes Region General Hospital, Laconia, NH, September 1996.
CPT 97, Physicians’ Current Procedural Terminology, American Medical Association, Chicago, IL.
St. Anthony’s Illustrated ICD-9-CM Code Book, St. Anthony’s Publishing, Reston, VA.
Society of Cardiovascular and Interventional Radiology et al, Interventional Radiology Coding Users’ Guide, Fourth edition, copyright 1995.

Notice: This part of our web site was prepared to assist in understanding and maintaining good coding skills. For proper use of this feature, reference must be made to official coding guidelines when necessary. The information here presented is only to be used as a supplement to those guidelines. Laguna Medical Systems, Inc., makes no representations or guarantees as to amounts that will be paid by Medicare or other third party payers.