Results 1 to 8 of 8

36005 denied

  1. Question 36005 denied
    Medical Coding Books
    Good morning all,

    My Dr. billed,

    33249
    33225(53)
    71090(26)
    36005

    Everything was paid except 36005. I've been receiving a lot of denials bundling 36005 into 33249. Can you help explain what they know about billing 36005 with 33249?

    Thank you very much!

  2. #2
    Default
    [QUOTE=coders_rock!;184983]Good morning all,

    My Dr. billed,

    33249
    33225(53)
    71090(26)
    36005

    Everything was paid except 36005. I've been receiving a lot of denials bundling 36005 into 33249. Can you help explain what they know about billing 36005 with 33249?

    Thank you very much![/QUOTE

    It is bundled into the pacemaker insertion along with the venogram, unless stenosis is found in the venous system before insertion.

    HTH,
    Jim Pawloski, CIRCC

  3. Default
    Thanks Jim, I sent you an email on 10/21, did you receive it?

  4. #4
    Default
    Quote Originally Posted by coders_rock! View Post
    Thanks Jim, I sent you an email on 10/21, did you receive it?
    No I did not. What was it about?

    Jim

  5. Default
    I wanted ur opinion regarding an cardiac-catheterization report, if you're familiar with it.

  6. #6
    Location
    upper saddle river,nj
    Posts
    112
    Default
    You can add a (59) modifier to the 36005 procedure code and rebill it. you can also check www.supercoder.com when you're coding procedures. I hope this helps

  7. Default
    Quote Originally Posted by maryawinfield04 View Post
    You can add a (59) modifier to the 36005 procedure code and rebill it. you can also check www.supercoder.com when you're coding procedures. I hope this helps


    Oops don't add 59 modifier unless you have medical necessity.A "good dx".

    If a full and complete diagnostic subclavian venogram is performed report it separately with 36005 and 75820. Code 36005 may need 59 modifier attached. If Venogram is done to establish vein patency or roadmapping purposes 36005 and 75820 should not be reported.
    Theresa CCS-P CPMA CCC ICDCT-CM

  8. #8
    Location
    upper saddle river,nj
    Posts
    112
    Default
    Quote Originally Posted by theresa.dix@ethc.com View Post
    Oops don't add 59 modifier unless you have medical necessity.A "good dx".

    If a full and complete diagnostic subclavian venogram is performed report it separately with 36005 and 75820. Code 36005 may need 59 modifier attached. If Venogram is done to establish vein patency or roadmapping purposes 36005 and 75820 should not be reported.
    of course if the diagnosis is of medical necessity.

Similar Threads

  1. 36005 vs 36010
    By hofm04 in forum Cardiology
    Replies: 0
    Last Post: 05-23-2014, 02:42 PM
  2. 36005 vs. 36011
    By ablythe in forum Interventional Radiology
    Replies: 2
    Last Post: 03-27-2013, 12:35 PM
  3. Another question re: 36005 75820,26
    By sharper in forum Cardiology
    Replies: 2
    Last Post: 05-25-2011, 10:52 AM
  4. 36005 denied as bundled to 33249
    By coders_rock! in forum Cardiology
    Replies: 5
    Last Post: 05-13-2011, 03:17 PM
  5. 36005 bundled with 75860
    By sparker in forum Cardiology
    Replies: 2
    Last Post: 08-13-2010, 11:11 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.