• 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 Need help with ASC billing for Angio w/Atherectomy

kokomax

Contributor
Messages
14
Location
Sun Lakes, AZ
Best answers
0
We have recevied denial from BcBs for billing 75710-TC, 59 and 37225-LT in a ASC setting. The provider did a LE angio with PTA w/Atherectomy on the left leg. Is this not the correct codes to bill?? I'm I missing something?!? ASC billing is new to me and if I am not billing this correctly please please fill me in!!! Any help would be greatly appreciated!!!!!!! :)
 
CPT 37225 code usually is denied under 197 denial code. If so, the provider should have Prior Authorization in place before performing the invasive procedure.
What are the CARC and RARC?
 
Top