Master the Complexity of
Vascular Surgery Billing
Vascular coding is heavily scrutinized by Medicare and commercial payers. From complex endovascular interventions and selective catheterizations to AV fistula creations, we ensure you capture every billable component of your high-acuity cases.
Endovascular Precision
We expertly navigate first, second, and third-order vascular hierarchies, ensuring selective catheter placements and interventions are coded perfectly.
Why Vascular Surgery Needs Elite Specialists
Vascular coding is unforgiving. If a surgeon performs an atherectomy, angioplasty, and stenting in the same vessel, knowing which codes are bundled and which require distinct modifiers is the difference between a paid claim and a massive denial. We deconstruct your operative reports to protect your high-value surgical revenue.
Catheter Placement Hierarchy
Endovascular coding is strictly hierarchical. We accurately code for selective versus non-selective catheter placements, ensuring you are paid for reaching 2nd or 3rd order vessels.
Dialysis Access (AV Fistula)
Coding for the creation, revision, or thrombectomy of an arteriovenous (AV) fistula involves complex bundling rules. We expertly unbundle interventions in the peripheral and central segments when justified.
Endovascular Interventions
When angioplasty, stenting, and atherectomy are performed, we apply the correct CPTs and Modifiers (59 or X-modifiers) depending on whether the treatments were in the same or separate vascular families.
Securing Revenue from
Access to Intervention
We meticulously map out the arterial and venous systems detailed in your op-notes, ensuring compliance with strict NCCI unbundling rules and catheter hierarchies.
Advanced Pre-Authorization
High-cost endovascular procedures require airtight prior authorizations. We manage the clinical submissions to secure approvals for both the primary intervention and potential staged procedures.
Op-Note Deconstruction
Our certified vascular coders dissect your operative report, tracking the exact access site, vessels crossed, and interventions performed to select the most specific CPT codes.
NCCI Bundling & Modifiers
Claims pass through aggressive scrubbers to verify NCCI edits. We ensure diagnostic angiograms are billed separately (with Modifier 59) only when the decision for surgery was made during the procedure.
High-Dollar Surgical Appeals
Insurers frequently downcode complex open bypasses or endovascular repairs. Our appeals team fights back using anatomical diagrams, operative evidence, and vascular society guidelines.
Stop Losing High-Value
Endovascular Revenue
Partner with elite surgical coders who understand the exact mechanics of catheter hierarchies, open bypasses, and complex vascular interventions. Contact Valeria Healthcare Solutions today.