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Thread: Modifiers

  1. #1

    Default Modifiers

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    Again I need help w/modifiers. Dr did some new procedures and we know what to bill there but are unsure of what modifiers are needed. Thanks any help is appreciated
    37205-LT-59
    35471-LT
    36245-LT-59
    36245-RT-59
    75960-26
    36140
    75724-26
    75966-26
    Was done in outpatient hospital and all have DX of 405.11 & 440.8
    Thanks Nancy

  2. #2

    Default

    Quote Originally Posted by n.anselmo@yahoo.com View Post
    Again I need help w/modifiers. Dr did some new procedures and we know what to bill there but are unsure of what modifiers are needed. Thanks any help is appreciated
    37205-LT-59
    35471-LT
    36245-LT-59
    36245-RT-59
    75960-26
    36140
    75724-26
    75966-26
    Was done in outpatient hospital and all have DX of 405.11 & 440.8
    Thanks Nancy
    Nancy,
    what is your date of service?
    Theresa CCS-P CPMA CCC ICDCT-CM

  3. #3

    Default Modifiers

    1/16/12

  4. #4
    Join Date
    Apr 2007
    Location
    Phoenix, AZ
    Posts
    621

    Default

    Nancy, don't forget the new renal codes are 36251 for unilateral cath and S&I and 36252 for bilateral cath and S&I. These take the place of 36245, 50 and 75724.
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  5. #5

    Default

    I had just looked up the LCD's for all the codes we used and will change the 75724 to 36252. But I did not see a change for 36245

  6. #6
    Join Date
    Apr 2007
    Location
    Green Bay
    Posts
    402

    Default

    Quote Originally Posted by n.anselmo@yahoo.com View Post
    I had just looked up the LCD's for all the codes we used and will change the 75724 to 36252. But I did not see a change for 36245
    I don't have my 2012 CPT book in front of me to put in the description but I'm positive if you read the descriptions on the new renal anigography codes it will tell you that the catheter placement is included. It is a "packaged" code now.

    Jessica CPC, CCC

  7. #7

    Default

    Ok, so is this right
    37205-LT-59 440.8
    35471-LT 405.11 440.8
    36245-LT-59 405.11
    36245-RT-59 405.11
    75960-26 405.11 440.8
    36140 405.11
    36252-26 405.11
    75966-26 405.11 440.8
    I am trying not to use mofier 59 so much Thanks Nancy

  8. #8
    Join Date
    Apr 2007
    Location
    Green Bay
    Posts
    402

    Default

    Quote Originally Posted by n.anselmo@yahoo.com View Post
    Ok, so is this right
    37205-LT-59 440.8
    35471-LT 405.11 440.8
    36245-LT-59 405.11
    36245-RT-59 405.11
    75960-26 405.11 440.8
    36140 405.11
    36252-26 405.11
    75966-26 405.11 440.8
    I am trying not to use mofier 59 so much Thanks Nancy
    Okay, I'm no expert at peripheral studies and there's no report posted but if this was done with one access site shouldn't the 36140 be taken out? Selective catheter placements supercede the non-selective cath placements codes.

    Jessica CPC, CCC

  9. #9

    Default

    Ok, I'll go back and look at the report Thanks

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