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I started coding this specialty recently and if you don't know how to place the modifiers you're doomed because the insurance companies bundle the codes. It's so fustrating. Can one of you guys tell me how you would code these set of codes and where to palce the 59 mod?

36217 (brachicephalic (right carotid/subclavian) 3rd Order
36218 (Additional vessel) 2nd /3rd order
36216 59 (left carotid family) 2nd order
36216 59 (left subclavian fam) 2nd order
37184 (Percutaneous mechanical thrombectomy)
75671-26 59 (Carotid, cerebral, bilateral)
75685-26 59 x 2 (Vertebral, cervical, and/or intracranial, (enter no.of vessels)

This is how I have been coding it. Taking about a challange WOW! HELP!:confused:
 
I started coding this specialty recently and if you don't know how to place the modifiers you're doomed because the insurance companies bundle the codes. It's so fustrating. Can one of you guys tell me how you would code these set of codes and where to palce the 59 mod?

36217 (brachicephalic (right carotid/subclavian) 3rd Order
36218 (Additional vessel) 2nd /3rd order
36216 59 (left carotid family) 2nd order
36216 59 (left subclavian fam) 2nd order
37184 (Percutaneous mechanical thrombectomy)
75671-26 59 (Carotid, cerebral, bilateral)
75685-26 59 x 2 (Vertebral, cervical, and/or intracranial, (enter no.of vessels)

This is how I have been coding it. Taking about a challange WOW! HELP!:confused:

What vessel did you chase the clot? It may change your catheter placement. You also sshould have posted this as a new thread, you may have received a faster answer.
Thanks,
Jim Pawloski, R.T. (CV), CIRCC
 
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