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

Question:
Just confirming –

If a Transjugular Intrahepatic Portosystemic Shunt (TIPS) procedure is performed, and Intra-Cardiac Echo (ICE) is used – does it fall under the “all associated imaging guidance” or can Intra cardiac echo be charged separately with 93662?

Answer:
Code 37182 is NOT a base code for 93662, so you cannot report 93662. Same with Intravascular Ultrasound (IVUS).

We consider it part of “all associated imaging guidance” as you suggest.

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