Wiki 37211 Denial

[kvogel03]

Hello Everyone,

I have billed 37211 and 93451 26. I have received a denial on 37211 for a modifier. The physician only used one access site for 37211, but placed two catheters. Any suggestion on what modifier to use for this ?

 

[Jim Pawloski]

Can you post the report? You have an arterial lysis code combined with an RHC code. Is this a pulmonary artery lysis?
Thanks,
Jim Pawloski, CIRCC

 

[kvogel03]

Yes, I believe it is pulmonary artery lysis with the RHC. This is the first one my doctor has performed so any helpful information would be great.

 

[Jim Pawloski]

So, you can charge 37221. Also, code for catheter position.

 

[kvogel03]

Okay, Thanks. So, would the 37211 need any modifiers if the physician used the same access site, but placed EKOS catheters in into the right and left pulmonary arteries ?

 

[Jim Pawloski]

You would need the right and left modifier.

 

[kvogel03]

Okay, so I can bill 37211 RT and 37211 LT even if they used one access site ?

 

[Jim Pawloski]

I would code 36015-50, 37211-RT, 37211-LT.

 

[kvogel03]

Okay thanks for your help.