36215 selective catheter placement

genacodes

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virginia beach, va
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When doing a selective cathater placement, on a rt and left artery is it appropriate to bill two lines (one unit each line) with a rt and lt, respectively....
or should we bill one line with 2 units, mod rt, lt?
 

bkiesecker

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grand canyon(PHX)
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be cautious to make sure you are dealing with two vascular family's when using RT and LT . i would agree with billing per selective placement
 

Davistm

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Moore, OK
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Medicare accepts only modifier 59 for catheter placements above the diaphram [36215 - 36217]. Claims with modifier 50 or RT/LT will be denied. If more than one arterial family is catheterized, report the family with the highest order catheterization without a modifier and each additional family with modifier 59. For example, if the physician selectively catheterized the right subclavian, left common carotid and left vertebral arteries, coding for Medicare would be: 36216 [RT SUBCL], 36216-59 [LT VERT] and 36215-59 [LCC].

Commercial payers may or may not follow Medicare coding rules for above the diaphram catheterization. You will have to contact each payer for coding guidance.

Terry
 
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