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A duplicated caval system

  1. #1
    Des Moines, IA
    Default A duplicated caval system
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    I am trying to determine the best way to code this scenario. The patient had 2 IVC filters placed, via 2 separate cath placements. Should I code the filter 37620 as 2 units, or separate lines with a -59 modifier?
    Body of the note states:
    "....utilized an ultrasound, evaluated her internal jugular, placed a wire under direct ultrasound visualization. We placed a wire down into the inferior vena cava and performed a cavogram and deployed our filter...... With the popliteal vein accessed, we performed a venogram. At this point, we realized she had a duplicated system and, for this reason, we placed a second caval filter in the duplicated cava."
    Thanks for any input.

  2. #2
    Melbourne, FL
    Default 59
    You definately need to use the 59 modifier on filters, imaging and caths. 37620; 37620-5951; 75940-26, 75940-2659 and 36010-51 and 36010-5951.

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