Vena Cava Filter Placement

dyoungberg

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I recently billed Sedgwick Workers Comp for Vena Cava filter placement using 37191. They have denied my charge stating "payment disallowed, billing error: incorrect procedure, modifier, unites, supply code. "According to the state fee schedule this procedure code is not considered a valid reimburseable code. Please resubmit with a valid code"

If I remember correctly workers' comp doesn't always use the current CPT codes. Can anyone tell me what code to use to bill this service?

Thank you!
 
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IVC Filter

was this related to a workman's comp case? Maybe that's why they are denying the charge. Why are they placing the filter?
 

dyoungberg

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Vena Cava Filter

The patient had a fall at work so this is worker's comp related. He hit his head and had craniotomy for subdural hematoma & subarachnoid hemorrhage. Due to this, patient could not receive anticoagulation and ended up with venous thromboembolic disease of the right lower extremity. Filter was placed for this reason.
 
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