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36215 selective catheter placement

  1. #1
    virginia beach, va
    Default 36215 selective catheter placement
    Medical Coding Books
    When doing a selective cathater placement, on a rt and left artery is it appropriate to bill two lines (one unit each line) with a rt and lt, respectively....
    or should we bill one line with 2 units, mod rt, lt?

    Gena Alexander-Fortune, CPC, CGSC

  2. #2
    Louisville, KY
    What is the service?

    Typically I prefer to code with a line item for each selective cath service (e.g., RT and LT).

  3. #3
    grand canyon(PHX)
    be cautious to make sure you are dealing with two vascular family's when using RT and LT . i would agree with billing per selective placement

  4. #4
    Medicare accepts only modifier 59 for catheter placements above the diaphram [36215 - 36217]. Claims with modifier 50 or RT/LT will be denied. If more than one arterial family is catheterized, report the family with the highest order catheterization without a modifier and each additional family with modifier 59. For example, if the physician selectively catheterized the right subclavian, left common carotid and left vertebral arteries, coding for Medicare would be: 36216 [RT SUBCL], 36216-59 [LT VERT] and 36215-59 [LCC].

    Commercial payers may or may not follow Medicare coding rules for above the diaphram catheterization. You will have to contact each payer for coding guidance.


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