Wiki 36011 selective catheter placement

[apcarter]

We are receiving numerous denial for the CPT code billed 36011 as inclusive to 93505 biopsy procedure. I would like to confirm that these two code are clearly bundled codes as the biopsy is the reason for the catheter placement.

Please advise...

 

[MLS2]

36011 would need a 59 mod. if it's separate from the biopsy

Heart Catheterization and Injection Procedures (93505)

INCLUDES: catheter(s):

- introduction

- positioning

- repositioning

final evalution

intracardiac pressure recording

intravascular pressure recording

obtaining blood samples

report

EXCLUDES: selective injection procedures without cardiac catheterization (36011-36015, 36215-36218)

 

[apcarter]

thanks,