Christapl
New
Provider placed a stent in the superior mesenteric artery for one patient and for another patient a stent in the Celiac artery. CPT code 37236 was used. However, Humana is denying the claims stating missing modifier. All other line items were paid. Codes used were 37236; 75726,26,59; 36245. I have appealed the claims with supporting documents but still keep getting a denial for that code. I checked the code on Novitasphere and a 26/TC modifier is not required for that code. So I am not sure what modifier I am to use in this situation I would be grateful if someone could provide information on how to correctly code for this procedure.