icd-10 code for intravascular ultrasound

by Mr. Tatum Kozey 8 min read

A. Your coding is correct. IVUS should be coded to 55054-00 [1949] Intraoperative ultrasound of other site and should be coded if performed with anaesthesia (except local). [Effective 17 February 2011, ICD-10-AM/ACHI/ACS 6th Ed.]Jul 1, 2015

Full Answer

What is intravascular ultrasound?

Intravascular ultrasound is an adjunct modality used to identify stenoses responsible for failing access by identifying multiple stenoses, including those that are most severe.

What is intravascular ultrasound for inferior vena cava filters?

Intravascular ultrasound has been used as a guidance for for placement of inferior vena cava filters. Ashley et al (2001) reported that IVUS is a more accurate method of localizing the renal veins and measuring vena cava diameter for placement of vena cava filters than contrast venography.

What is the ICD 10 code for procedure b240zz3?

ICD-10-PCS B240ZZ3 is a specific/billable code that can be used to indicate a procedure.

Is intravascular ultrasound useful in the evaluation of pulmonary arterial hypertension?

The application of intravascular ultrasound to evaluate pulmonary vascular properties and mortality in patients with pulmonary arterial hypertension. J Am Soc Echocardiogr. 2016;29 (2):103-111.

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What is IVUS in pulmonary embolism?

Tapson and colleagues (1994) stated that massive pulmonary embolism may result in rapid deterioration prior to diagnostic and therapeutic intervention. Intravascular ultrasound (IVUS) imaging has been utilized previously to evaluate vascular abnormalities as well as normal human pulmonary arteries. These researchers employed this technique to rapidly identify massive pulmonary emboli located in the main pulmonary arteries of 2 patients. The authors concluded that the presence of these emboli was confirmed with pulmonary arteriography; IVUS may be utilized to rapidly confirm the presence of large proximal pulmonary emboli.

Is IVUS effective for PAD?

Makris and colleagues (2017) examined the safety and effectiveness of IVUS during lower limb endovascular interventions in patients with peripheral arterial disease (PAD). These researchers carried out a systematic review of the PubMed and Scopus databases according to PRISMA guidelines. Clinical studies evaluating IVUS as an adjunct to angiography during re-vascularization procedures in patients with PAD were included. A total of 13 studies were identified, with a total number of 2,258 patients having had IVUS for PAD intervention; 7 studies investigated the role of IVUS for angioplasty and stenting, with the majority being retrospective cohorts. Technical success and patency rates ranged from 90 to 100 % and 45 to 100 %, respectively, with a follow-up that ranged from 4.3 to 63 months; 3 of these studies compared IVUS and non-IVUS guided angioplasty and demonstrated a significant difference in the events of amputations or re-interventions in favor of the IVUS group. Furthermore, 5 studies evaluated IVUS use in true-lumen re-entry, with the technical success ranging between 97 to 100 %. In 1 study, where IVUS was used for atherectomy, the technical success was 100 % and the long-term patency was 90 % during a 12-month follow-up. Overall, no significant peri-/post-operative IVUS related complications were reported, whereas, 2 studies suggested an IVUS-associated increase in procedure costs that ranged from $1,080 to $1,333. The authors concluded that there is limited and heterogeneous evidence regarding the use of IVUS for the management of PAD. They stated that further research is needed to elucidate the optimal role of IVUS in PAD as well as the cost-effectiveness of this approach for routine use in the management of PAD.

What is the code for a catheter placement?

Don't forget to code your catheter placement. 36247 for the Lt Posterior Tibial Artery.

Which artery is left proximal iliac angiogram?

Left iliac angiogram obtained with the IM catheter position to the left proximal iliac artery, same IM catheter was used for the left lower extremity angiogram, and was advanced across the aortic bifurcation to the left common femoral artery.

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