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Wiki Vascular access by other than physician

mdumm

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If a hospital has implemented a policy that allows qualified nursing staff or cardiac cath techologists to perform the vascular access instead of the physician, would that effect the CPT code billed for the professional service? The physician would provide direct supervision and then would come in to place the catheters and the rest of the procedure. The qualified staff would perform the usual monitoring, etc. Would a 52 modifier be appropriate, or should the global CPT code be reported?
 
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