Arterial Cut-Downs during EVAR

RhondaJohnson

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What is the appropriate way to bill in EVAR repairs in which a general surgeon performs the arterial exposure and then an interventional radiologist places the endograft? The general surgeon is only involved in the artery exposure and repair, they do not assist or participate in the placement of the endograft prosthesis.

34812 is an add-on code. You can't bill just an add-on code to the general surgeon can you? Or is this considered a co-surgery because the general surgeon does the exposure and the IR provider places the graft? Modifier -62 on the 34705?

Thanks for any help you can offer.

Rhonda Johnson, CPC
 

ernist8489

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Hey there I am Erik Brown, CIRCC, CPC.
The Guidelines for modifier 62 state as follows- For the procedures performed as co-surgery both co-surgeons are expected to bill the exact same combination of procedure codes with modifier 62 appended. Additional procedures performed in the same operative session mayh be reported as either primary surgeon or assistant surgeon.
Example:
Interventional ﹰRadiologist
34705-62, (+)34812-62
General Surgeon
34705-62, (+)34812-62


If you ever need help woith IR, CVIR, Vascular/ENDOVASCULAR, Cardiology, Cardiovascular Thoracic, OB, Vascular Neurointerventional etc email me directly at
 

RhondaJohnson

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Fargo, North Dakota 70102
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What if the general surgeon performs absolutely no part of the 34705? To bill a co-surgery two surgeons perform distinct parts of a surgery represented by ONE code. In the cases I'm talking about the general surgeon performs the cut-down and then the interventionalist does all the work of the 34705. In some cases the general surgeon leaves the operative suite after performing the cut-down. How do you append a co-surgery modifier to a cpt code that a surgeon wasn't even present for?
 
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