IVC placement /reposition codes

[robynmcginnis]

When coding IVC filters I keep coming upon the same scenario. The physician placed the IVC, but it is tilted so he uses a catheter to reposition the filter. HE DOES NOT use a separate access. I have billed the 37191 for placement and the 37192 - 52 - for the repositioning ( 52 because no secondary access). and the insurance is paying 37192 - 52 only. denying the 37191( primary) as similiar procedure..
In reading CDR it appears the codes can be billed together,.. is anyone having this issue or does anyone have supporting information that can substantiate this billing.?
Thanks for your help!!

 

[donnajrichmond]

When coding IVC filters I keep coming upon the same scenario. The physician placed the IVC, but it is tilted so he uses a catheter to reposition the filter. HE DOES NOT use a separate access. I have billed the 37191 for placement and the 37192 - 52 - for the repositioning ( 52 because no secondary access). and the insurance is paying 37192 - 52 only. denying the 37191( primary) as similiar procedure..
In reading CDR it appears the codes can be billed together,.. is anyone having this issue or does anyone have supporting information that can substantiate this billing.?
Thanks for your help!!

Look at your CPT book - there is a parenthetical prohibiting coding 37191 and 37192 together.
At the time of the initial placement, all repositioning is included. 37192 is to reposition a previously placed filter.