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Secondary thrombectomy done with femoral plasty

  1. #1
    Default Secondary thrombectomy done with femoral plasty
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    Help!

    Am I missing the obvious here???

    I just got off the phone with Cahaba Medicare regarding a claim in which I billed 37224 (femoral plasty) and 37186 (secondary thrombectomy). Cahaba is telling me that I did not bill it with the correct qualifying procedure code and cant be billed with 37224. I even called back and spoke to someone else only to get the same response. Where can I find what the correct qualifying procedure codes are per Medicare. The representative couldn't find it and I have nothing that I can send in with the appeal.

    Any suggestions????

    Thanks so much!
    C. Weaver, CPC, CCC

  2. #2
    Location
    Birmingham, Alabama
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    Quote Originally Posted by cweavercpc View Post
    Help!

    Am I missing the obvious here???

    I just got off the phone with Cahaba Medicare regarding a claim in which I billed 37224 (femoral plasty) and 37186 (secondary thrombectomy). Cahaba is telling me that I did not bill it with the correct qualifying procedure code and cant be billed with 37224. I even called back and spoke to someone else only to get the same response. Where can I find what the correct qualifying procedure codes are per Medicare. The representative couldn't find it and I have nothing that I can send in with the appeal.

    Any suggestions????

    Thanks so much!
    You are not missing anything, you have coded and billed correctly. Call back and ask if 35474 qualifies as a primary procedure? If they answer yes, they need to update their system to reflect new codes and deleted codes. Good luck.

    HTH
    Danny L. Peoples
    CIRCC,CPC

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