Wiki VenaSeal CPT 36482 - second kit reimbursement

vidraj

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Buffalo Grove, IL
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Hi everyone,
I am looking for details on how to bill for the second kit used for VenaSeal ablation at office.

The first catheter was completely clotted inside the lumen of the catheter due to difficult anatomy and our provider had to use a second kit to complete the procedure.
We submitted the 36482 and for the second kit 36482 (with modifier 76), but Medicare denied both. We submitted the procedure notes yet denied as not supportive.

How to get the second kit reimbursed? (These kits are very expensive.) Any piece of advice?
 
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