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Endovenous ablation therapy - different techniques

  1. #1
    Green Bay, WI
    Default Endovenous ablation therapy - different techniques
    Medical Coding Books
    Per the CPT manual, you cannot report CPT 36478 with CPT 36475 & CCI supports this & indicates that modifier -59 is NOT allowed. How do you then code endovenous ablation of two separate veins (different entry sites) when one vein is treated with LASER ablation & the other is treated with RADIOFREQUENCY ablation? Can anyone help with this?

    Mary Kittredge, CPC

  2. #2
    Richardson, TX
    You can't if they are in the same surgical field.

    I've never had a report where both techniques were used; my physician decide on one or the other, and from there, decide to treat additional veins and we utilize 36476 or 36479, respectively.

    I would bill the cpt representing the highest RVUs since both were performed in the same surgical field.
    Julie Graham, BA, CPC, CCC

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