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Venous Access Device

  1. Default Venous Access Device
    Medical Coding Books
    Do any of you code for Venous Access Device for Chemo after Mastectomy? My question is the patient has a Mastectomy and 2 weeks later the patient sees an Onocologist and they send her back to the surgeon that done the Mastectomy for the VAD placement do you charge for the E/M with a 24 modifier? Do you code the VAD with a 79 modifier? I just have had conflicting information from different sources and wanted to get a clear picture of how to correctly bill these.
    Thank you for your help.
    Teresa Cooper

  2. Default
    Seems like -58. If you look at the guidelines in Appendix A modifier 58 says "...procedure or service during the postop period was: (c) for therapy following a surgical procedure".

    I don't think you can justify -78 or -79 nor can you justify the -24 on the E/M as unrelated.

    Good Luck!

  3. #3
    Boise, Idaho

    and either 76937 for US guidance or
    77001 for fluroscopy guidance

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