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36221 with 36200?? PLEASE HELP

  1. #1
    Exclamation 36221 with 36200?? PLEASE HELP
    Medical Coding Books
    I have a report that dictates the following:

    A catheter was placed in the ascending aorta, aortic arch angiography was performed to evaluate origin of innominate artery and subclavian arteries. Then the catheter was pulled above origin of renals and abdominal aortogram was performed. Finally the catheter was pulled below origin of renals and aortofemoral runoff was performed.

    I can not find any information billing 36200 and 36221 together...
    Only that 36200 bundles into 36221

    I would bill:
    36221=aortic arch angiography
    75625/26=abdominal aortogram
    75716/26=runoff

    What I am unsure of, is billing the 36200 (non-selective aorta catheter placement)...

    Maybe I can bill 36200 with mod -59 since it does bundle into the 36221?

    Can someone please assist me and/or show me more information regarding this particular scenario??
    Brandy Edmondson, CPC

  2. #2
    Default
    Quote Originally Posted by brandyleigh23 View Post
    I have a report that dictates the following:

    A catheter was placed in the ascending aorta, aortic arch angiography was performed to evaluate origin of innominate artery and subclavian arteries. Then the catheter was pulled above origin of renals and abdominal aortogram was performed. Finally the catheter was pulled below origin of renals and aortofemoral runoff was performed.

    I can not find any information billing 36200 and 36221 together...
    Only that 36200 bundles into 36221

    I would bill:
    36221=aortic arch angiography
    75625/26=abdominal aortogram
    75716/26=runoff

    What I am unsure of, is billing the 36200 (non-selective aorta catheter placement)...

    Maybe I can bill 36200 with mod -59 since it does bundle into the 36221?

    Can someone please assist me and/or show me more information regarding this particular scenario??
    Hi Brandy,
    I could not find anything in Dr. Z's book, but I would bill the 36200-26-59 for the aortogram and bilateral run-off.
    Thanks,
    Jim Pawloski, CIRCC

  3. #3
    Thumbs up
    Great, thank you so much Jim for your response!
    Brandy Edmondson, CPC

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