• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki AV Fistula intervention

Create Wiki
J

jewlz0879

True Blue
Messages
835
Location
The Woodlands, TX
Best answers
0
Question: Can you bill venous atherectomy (37799) AND Thrombectomy (36870) in a Fistula? Medicare is telling me it is global. I'm assuming they only want to pay one or the other but I can't find any documentation stating you can't bill these two together. I have Dr. Z book too and can't find anything in there either.

Any guru's out there??? PLEASE! Thanks a million.

Happy Friday
 
jewlz0879 said:
Question: Can you bill venous atherectomy (37799) AND Thrombectomy (36870) in a Fistula? Medicare is telling me it is global. I'm assuming they only want to pay one or the other but I can't find any documentation stating you can't bill these two together. I have Dr. Z book too and can't find anything in there either.

Any guru's out there??? PLEASE! Thanks a million.

Happy Friday
Click to expand...

just a couple of thoughts...was this performed at the same session? If so, the global period is irrelevant. If they were not performed in the same setting but during the global period of 36870, then apply a modifier 58,78, or 79 to the unlisted code.

If 37799 is bundling with 36870 (same session), and is clearly a separe proceure, with separate documentation, then you could try modifier 59. Be advised that overuse of modifer 59 can raise red flags.


HTH :)
 
You must log in or register to reply here.
Top