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36011 selective catheter placement

  1. #1
    Default 36011 selective catheter placement
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    We are receiving numerous denial for the CPT code billed 36011 as inclusive to 93505 biopsy procedure. I would like to confirm that these two code are clearly bundled codes as the biopsy is the reason for the catheter placement.

    Please advise...

  2. #2
    Default
    36011 would need a 59 mod. if it's separate from the biopsy

    Heart Catheterization and Injection Procedures (93505)

    INCLUDES: catheter(s):

    - introduction

    - positioning

    - repositioning

    final evalution

    intracardiac pressure recording

    intravascular pressure recording

    obtaining blood samples

    report

    EXCLUDES: selective injection procedures without cardiac catheterization (36011-36015, 36215-36218)

  3. #3
    Default
    thanks,

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