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IVC Filter help.

  1. #1
    Question IVC Filter help.
    Medical Coding Books
    I need some insite to IVC filter placement and removal. The surgeron and his nurse seem to think this is a standard set of code that are always the same.
    They want to use 37620, 75940,26 and 75820, 26 always for insertion. I was told by a fellow coder it should be 37620, 36010 and 75940,26. For the removal the Dr want to use : 36010,37203,75961,26 and 75825,26,59. My fellow coder said it should be only 37203 with the 75961,26 . I guess I'm not understanding this procedure. Is it always the same? Any help would be wonderful.
    Thank you,
    MEZ.

  2. #2
    Location
    Quincy, MA
    Posts
    62
    Default
    We code the placement as:

    37620
    36010
    75940-26
    75825-26, 59

    We haven't coded for removal though, so I'm not sure about that one.
    Leanne, CPC
    General/Vascular Surgery

  3. #3
    Smile
    Thank you very much !

  4. #4
    Location
    Rockford, Illinois
    Posts
    14
    Default
    Leanne's placement codes are correct. For removal, use the codes that your doctor provided. To use 75825-59, you need to make sure his dictation mentions the lack of or presence of thrombus in the IVC and filter. Also, if it is being removed during the global of the placement, you'll need to use modifier 58.
    Carrie Romine, CPC
    Senior Compliance Specialist
    Rockford Orthopedic Associates

  5. #5
    Default
    Thank you Carrie

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