Wiki Denial on 37246 and 36252

[kvogel03]

Hello Everyone,

I have billed 37236 LT, 37246 RT, and 36252 with diagnosis I70.1 and I115.0. My first denial was on 37236 I corrected the diagnosis they took back 37246 and 36252. Then a second denial on 37246 and 36252 for inconsistent modifier or required modifier is missing. I am trying to figure out why theses to codes are denying. Any help would be greatly appreciated.



Thanks,

Kayla

 

[deeva456]

Hi
I think the denials were caused by not adding the appropriate modifiers and not the diagnosis. Without reading the report but based on the info you provided, the coding is:
37236 - Lt - stent
37246 - Rt 59 balloon angioplasty, rt renal
36252 - bilateral renal angio

balloon angioplasty in included with the stent placement so you would need to append modifier 59 or XS if the angioplasty is performed in a separate vessel.

HTH
Dolores

 

[kvogel03]

I will give that a try. Thanks for you help.

Kayla