us/ hemo - Hello Can some please help

35lm32

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Hello Can some please help ,

May understanding is when you bill a 93990( us/ hemo ) and 35476,75978 36147 (fistula/angioplasty) and 36005, 93931, 93971, 75820( vein mapping ) all on the same say the 93990 and 93931, 93971,75820 will be bundled ....please some help me find a rule or some modifiers..
 

jsalzer50

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I'll give this my best shot

93990 Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)
93931 Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study
93971 Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study
75820 Venography, extremity, unilateral, radiological supervision and interpretation
35476 Transluminal balloon angioplasty, percutaneous; venous
36147 Introduction of needle and/or catheter, arteriovenous shunt created for dialysis (graft/fistula); initial access, including fluoroscopy, image documentation and report
75978 Transluminal balloon angioplasty, venous (eg, subclavian stenosis), radiological supervision and interpretation.

Here is my first attempt:

75978-51-26
36147-51-26
93990-51

- Jacob
 

35lm32

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thanks but they are all done in office setting so the 26 modifier I don't think that right ...but the 51 modifier could be ..:D
 
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