Intra-Operative Fluorescence Vascular Angiography

Effective October 1, 2007, code 88.59, Intra-operative fluorescence vascular angiography, has been created for the intraoperative laser arteriogram (or SPYâ„¢ angiography). Prior to the creation of the new code, this procedure was assigned to code 88.90, Diagnostic imaging, not elsewhere classified. Intra-operative fluorescence vascular angiography (IFVA) is a new imaging technology that allows the real time evaluation of coronary vasculature and cardiac chambers during coronary artery bypass graft (CABG) procedures. It is particularly useful in assessing the quality of vascular anastomoses and patency of the graft. An indocyanine green (IC-Greenâ„¢) dye is...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers the introduction of a new procedure code effective October 1, 2007, for intra-operative fluorescence vascular angiography and explains the clinical and technical context in which the service is performed. It is useful for coders, CDI professionals, and reimbursement staff who need to understand how the procedure is described in operative settings, how it relates to coronary artery bypass surgery, and how the article frames the terminology used for the imaging service.

Why This Topic Matters

The article matters because it documents a coding change for a specialized intraoperative imaging procedure and ties that change to cardiac surgery documentation. Readers can use it to recognize the procedure, understand the setting in which it appears, and identify the relevant procedure coding references discussed by the source.

What You Will Learn

  • The general purpose and setting of intra-operative fluorescence vascular angiography.
  • How the article situates the imaging service within coronary bypass surgery.
  • The terminology used to refer to the procedure in operative documentation.
  • The coding context associated with the creation of the new procedure code.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Clinical documentation specialists
  • Revenue cycle professionals
  • Cardiovascular surgery coding staff

Codes Discussed

  • ICD-9-CM: 88.59
  • ICD-9-CM: 88.90
  • ICD-9-CM: 36.12

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