Diagnosis Code for CCSVI
Posted: Sat Aug 21, 2010 12:55 pm
What is the Dx code/s for CCSVI?
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I also don't know who I'm quoting there, but it was somone on this site some time ago.Venous insufficiency unspecified (459.81) is a billable indication for a venous exam (sure I use this mostly for varicose vein studies). Head and neck swelling would definitely be a legitimate reason to scan these folks.
CPT CODES
36011 Procedure
70549 MRV/MRI
70546
93970 Ultrasound
it is a start at least!Henry Jacobs: Question whether many of these codes will indeed work. Perhaps for isolated instances where Medicare or health insurance is not checking up, but they were not really intended for CCSVI diagnosis or treatment.
For example diagnosis code 45981 has traditionally been used for venous peripheral insufficiency such as leg or arm, not central venous insufficiency (which is what is referred to in CCSVI).
Also, venous ultrasound code 93970 is for a scan of extremity veins, not internal jugular or vertebral which again are central veins and not extremity veins.
Several of the other codes are also mismatched – some referring to arteries, extremities, or other areas or other procedures.
Just one question. When we speak about the nervous system, the central system are the brain and the spine, but when we speak about the vascular system, does it really exist a "vascular central system"? shouldn't this expression refer to the heart instead of the brain? Brain is not central from the vascular point of view.Henry Jacobs: Question whether many of these codes will indeed work. Perhaps for isolated instances where Medicare or health insurance is not checking up, but they were not really intended for CCSVI diagnosis or treatment.
For example diagnosis code 45981 has traditionally been used for venous peripheral insufficiency such as leg or arm, not central venous insufficiency (which is what is referred to in CCSVI).
Also, venous ultrasound code 93970 is for a scan of extremity veins, not internal jugular or vertebral which again are central veins and not extremity veins.
Several of the other codes are also mismatched – some referring to arteries, extremities, or other areas or other procedures.
Someone alerted me that I was quoted here so let me clarify one thing:frodo wrote:Just one question. When we speak about the nervous system, the central system are the brain and the spine, but when we speak about the vascular system, does it really exist a "vascular central system"? shouldn't this expression refer to the heart instead of the brain? Brain is not central from the vascular point of view.Henry Jacobs: Question whether many of these codes will indeed work. Perhaps for isolated instances where Medicare or health insurance is not checking up, but they were not really intended for CCSVI diagnosis or treatment.
For example diagnosis code 459.81 has traditionally been used for venous peripheral insufficiency such as leg or arm, not central venous insufficiency (which is what is referred to in CCSVI).
Also, venous ultrasound code 93970 is for a scan of extremity veins, not internal jugular or vertebral which again are central veins and not extremity veins.
Several of the other codes are also mismatched – some referring to arteries, extremities, or other areas or other procedures.