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Author Archives: David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC

About David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC

David Zielske is founder and President of ZHealth Publishing and primary author and editor of ZHealth publications. Dr. Z practiced as an interventional radiologist and has over twenty years experience as a coding reviewer and coding expert. He is Board Certified in Radiology and has functioned as an independent interventional radiology, vascular surgery, and cardiovascular coding consultant to a variety of physician groups and hospital providers across the country. He also served as an instructor for over 200 coding seminars.
Q & A with Dr. Z – Lumbar Artery Arteriography

Q & A with Dr. Z – Lumbar Artery Arteriography

by David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC Question: Lumbar Artery Arteriography Is arteriography for the lumbar arteries subjective to the reason for the exam? We sometimes see the doctors select L1-L4 and branches off the lumbar arteries to look for bleeds. If the dx is Flank hematoma from a fall and they […]

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Q & A with Dr. Z – Percutaneous Aspiration Ovarian Cyst

Q & A with Dr. Z – Percutaneous Aspiration Ovarian Cyst

by David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC Question: Percutaneous Aspiration Ovarian Cyst Is CPT code 58805 or 10160 most appropriate for the following? TECHNIQUE: Percutaneous ultrasound-guided aspiration through 5 French Yueh catheter. Sterile; 1% lidocaine for local anesthesia. Location: Left lower abdominal quadrant and right lower abdominal quadrant. Needle size: 5 French […]

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Q & A with Dr. Z – Lower Extremity AV Fistula Peripheral Segments

Q & A with Dr. Z – Lower Extremity AV Fistula Peripheral Segments

by David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC Question: Lower Extremity AV Fistula Peripheral Segments For lower extremity AV fistula peripheral segments – what is the adjacent segment of native artery, peri-anastomotic region/arterial anastomosis? Does this mean only the common femoral artery or also the iliac arteries? Please clarify. Answer: The iliac veins are […]

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Q & A with Dr. Z – Embolization 37244 vs 37242

Q & A with Dr. Z – Embolization 37244 vs 37242

Libman Education is proud to offer ZHealth Publishing’s broad range of coding products to assist both the novice and the seasoned coder to become experts at coding and charging for complex procedures in Interventional Radiology, Interventional Cardiology, Vascular/Endovascular Surgery, and Diagnostic Radiology. Periodically, ZHealth Publishing experts offer general recommendations in response to specific customer inquiries […]

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Q & A with Dr. Z – Nephrostomy Tract Dilation with NU Cath Placement Earlier Same Day

Q & A with Dr. Z – Nephrostomy Tract Dilation with NU Cath Placement Earlier Same Day

Libman Education is proud to offer ZHealth Publishing’s broad range of coding products to assist both the novice and the seasoned coder to become experts at coding and charging for complex procedures in Interventional Radiology, Interventional Cardiology, Vascular/Endovascular Surgery, and Diagnostic Radiology. Periodically, ZHealth Publishing experts offer general recommendations in response to specific customer inquiries. […]

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Q&A with Dr. Z – Sclerotherapy

Q&A with Dr. Z – Sclerotherapy

Libman Education is proud to offer ZHealth Publishing’s broad range of coding products to assist both the novice and the seasoned coder to become experts at coding and charging for complex procedures in Interventional Radiology, Interventional Cardiology, Vascular/Endovascular Surgery, and Diagnostic Radiology. Periodically, ZHealth Publishing experts offer general recommendations in response to specific customer inquiries. […]

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His Bundle Lead Upgrade

His Bundle Lead Upgrade

Libman Education is proud to offer ZHealth Publishing’s broad range of coding products to assist both the novice and the seasoned coder to become experts at coding and charging for complex procedures in Interventional Radiology, Interventional Cardiology, Vascular/Endovascular Surgery, and Diagnostic Radiology. Periodically, ZHealth Publishing experts offer general recommendations in response to specific customer inquiries. […]

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CMS has Revised NCD 20.4 – Guidance for Implementation Period

CMS has Revised NCD 20.4 – Guidance for Implementation Period

Libman Education is proud to offer ZHealth Publishing’s broad range of coding products to assist both the novice and the seasoned coder to become experts at coding and charging for complex procedures in Interventional Radiology, Interventional Cardiology, Vascular/Endovascular Surgery, and Diagnostic Radiology. Periodically, ZHealth Publishing experts offer general recommendations in response to specific customer inquiries. […]

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CMS Has Revised NCD 20.4 – Implantable Cardiac Defibrillators (ICDs)

CMS Has Revised NCD 20.4 – Implantable Cardiac Defibrillators (ICDs)

Libman Education is proud to offer ZHealth Publishing’s broad range of coding products to assist both the novice and the seasoned coder to become experts at coding and charging for complex procedures in Interventional Radiology, Interventional Cardiology, Vascular/Endovascular Surgery, and Diagnostic Radiology. Periodically, ZHealth Publishing experts offer general recommendations in response to specific customer inquiries. […]

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HCPCS 2019: C9754 & C9755

HCPCS 2019: C9754 & C9755

Libman Education is proud to offer ZHealth Publishing’s broad range of coding products to assist both the novice and the seasoned coder to become experts at coding and charging for complex procedures in Interventional Radiology, Interventional Cardiology, Vascular/Endovascular Surgery, and Diagnostic Radiology. Periodically, ZHealth Publishing experts offer general recommendations in response to specific customer inquiries. […]

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MUE Updates

MUE Updates

Libman Education is proud to offer ZHealth Publishing’s broad range of coding products to assist both the novice and the seasoned coder to become experts at coding and charging for complex procedures in Interventional Radiology, Interventional Cardiology, Vascular/Endovascular Surgery, and Diagnostic Radiology. Periodically, ZHealth Publishing experts offer general recommendations in response to specific customer inquiries. […]

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Coding Acute MI

Coding Acute MI

Libman Education is proud to offer ZHealth Publishing’s broad range of coding products to assist both the novice and the seasoned coder to become experts at coding and charging for complex procedures in Interventional Radiology, Interventional Cardiology, Vascular/Endovascular Surgery, and Diagnostic Radiology. Periodically, ZHealth Publishing experts offer general recommendations in response to specific customer inquiries. […]

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SMA/Intestinal Angiography

SMA/Intestinal Angiography

Libman Education is proud to offer ZHealth Publishing’s broad range of coding products to assist both the novice and the seasoned coder to become experts at coding and charging for complex procedures in Interventional Radiology, Interventional Cardiology, Vascular/Endovascular Surgery, and Diagnostic Radiology. Periodically, ZHealth Publishing experts offer general recommendations in response to specific customer inquiries. […]

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Injection/Myelogram (62284/72240)

Injection/Myelogram (62284/72240)

Libman Education is proud to offer ZHealth Publishing’s broad range of coding products to assist both the novice and the seasoned coder to become experts at coding and charging for complex procedures in Interventional Radiology, Interventional Cardiology, Vascular/Endovascular Surgery, and Diagnostic Radiology. Periodically, ZHealth Publishing experts offer general recommendations in response to specific customer inquiries. […]

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Laser Atherectomy for Subclavian (OLD Code 35475)

Laser Atherectomy for Subclavian (OLD Code 35475)

  Libman Education is proud to offer ZHealth Publishing’s broad range of coding products to assist both the novice and the seasoned coder to become experts at coding and charging for complex procedures in Interventional Radiology, Interventional Cardiology, Vascular/Endovascular Surgery, and Diagnostic Radiology. Periodically, ZHealth Publishing experts offer general recommendations in response to specific customer […]

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CPT Code 36904 – Crisscross Infusion Catheters Placed in an AV Dialysis Fistula

CPT Code 36904 – Crisscross Infusion Catheters Placed in an AV Dialysis Fistula

  ZHealth Publishing Coding Q&A Libman Education is proud to offer ZHealth Publishing’s broad range of coding products to assist both the novice and the seasoned coder to become experts at coding and charging for complex procedures in Interventional Radiology, Interventional Cardiology, Vascular/Endovascular Surgery, and Diagnostic Radiology. Periodically, ZHealth Publishing experts offer general recommendations in […]

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