General Surgery Coding Alert

Reader Question:

Report 37620 and 75940 for IVC Filter

Question: How can I get paid for inferior vena cava (IVC) filter placement? Medicare is paying the hospital fee only.

South Carolina Subscriber Answer: Be sure to report both portions of the service: The appropriate procedural code is 37620 (Interruption, partial or complete, of inferior vena cava by suture, ligation, plication, clip, extravascular, intra-vascular [umbrella device]), and you may report the associated radiological procedure separately using 75940 (Percutaneous placement of IVC filter, radiological supervision and interpretation).
 
Remember, however, that the surgeon may report the radiology portion of the procedure only if another physician (including the hospital radiologist) does not also provide an interpretation and report. And, when reporting 75940, you should append modifier -26 (Professional component) to show that the surgeon did not supply the equipment for the procedure. The hospital will bill separately to receive its payment portion for use of its equipment.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

General Surgery Coding Alert

View All