Wiki Central Venous Access Device

[cstrickler]

Here is my situation:

Doctor with hospital performs a Medi-I-Port Insertion CPT code 36561. Radiologist contracted by the hospital provides fluoroscopic guidance (77001) for the insertion. I am trying to bill for the professional component of the fluoro guidance but since the radiologist did not perform the insertion procedure I cannot bill for the 36561. Is there a way to code 77001-26 as a stand alone code?

 

[thomas7331]

The guidance for this type of procedure is routinely performed by the surgeon who is doing the port placement. Is there a medically necessary reason why this would need to be done by a radiologist instead of the surgeon? If not, then I would say that this is being done for the convenience of the surgeon, and that the surgeon could perhaps bill for the port placement with the guidance and then compensate the radiologist directly. I don't know of any way for the radiologist to bill the add-on code without the base procedure.