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Wiki TAVR w.rotational x-ray

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mabar1571

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can the rotational x-ray (prob.codes 75572-75574) be billed when performed with a TAVR (0256T)? CPT says fluoroscopic radiologic S&I, and imaging guidance are not reported separately when performed to complete the procedure. Are they billable if performed before TAVR or after (at another location)? And would a modifier be needed?
 
I would think if it was done for a diagnostic evaluation separate from the TAVR then you could possibly get reimbursement with -59, with solid documentation. My physician's have not done that with TAVR.
 
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