LV&C with Selective Peripheral Angiography

priedel

New
Messages
4
Location
Gerrardstown, WV
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0
Question,

I have a LV&C that was done as well as a Selective Peripheral Angiography bilateral at the same time. I coded this as:
93458 - 26
36245 - 59, LT
75716 - 26, 59
36245 - 59, RT

However CPT 75716 denied as service not payable with another service on this claim.

Is 75716 bundled with 93458 and that is the reason it was denied?

Anyone's help is greatly appreciated!

Thanks,
Patricia
 

cpc2007

Guru
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164
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There is an NCCI edit between CPT 93458 and 75716, but you can unbundle the 75716 with a modifier 59 if a medically necessary bilateral lower extremity angiogram was performed. If they were obtaining an iliofemoral angiogram just to deploy Angioseal closure devices you could not unbundle; you could only report this code if there are symptoms/disease involving the lower extremity arteries. Also, it is a bit atypical to have two first order selective catheterization codes (36245.LT, 36245.RT) with a bilateral lower extremity angiogram (it's possible, just unusual). Can you post the body of the operative report? If I can see the details, I may be able to provide more specific help on how to correct the claim :).
 
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