• 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 Return to the OR for Thrombolytic infusion catheter

Create Wiki
M

mfournier

Networker
Messages
89
Location
Dighton, MA
Best answers
0
Hello Everyone:

Was hoping someone can help with this issue.
Patient had a 37211, 36247-51 and 75710-26-59 on 4/5. On the same day while patient was in recovery the catheter were abruptly pulled and retracted out. The sheath and the catheter were still inside her body, but I recommended urgently taken her back to reposition the catheter. 37213-58-RT was billed with DOS 4/5 and Medicare denied "This procedure or procedure/modifier combination is not compatible with another procedure or procedure/modifier combination provided on the same day.

Should I do a reconsideration stating this was a return to the OR or should I select a different code?

Any suggestions would be greatly appreciated.

Thanks
Miriam F
 
mfournier said:
Hello Everyone:

Was hoping someone can help with this issue.
Patient had a 37211, 36247-51 and 75710-26-59 on 4/5. On the same day while patient was in recovery the catheter were abruptly pulled and retracted out. The sheath and the catheter were still inside her body, but I recommended urgently taken her back to reposition the catheter. 37213-58-RT was billed with DOS 4/5 and Medicare denied "This procedure or procedure/modifier combination is not compatible with another procedure or procedure/modifier combination provided on the same day.

Should I do a reconsideration stating this was a return to the OR or should I select a different code?

Any suggestions would be greatly appreciated.

Thanks
Miriam F
Click to expand...
The book I have, Revenue Cycle Coding Strategies Navigator for Interventional Radiology/Procedures, states 37211 includes catheter initiation, repositioning, exchange and discontinuation.

Hope this helps.
 
I would charge 37211-78 as reposition of catheter. Each infusion code goes by the day, so since that is the initial day that is why I used 37211.
HTH,
Jim Pawloski, CIRCC
 
You must log in or register to reply here.
Top