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Thread: Medi-port placement

  1. #1

    Smile Medi-port placement

    I need some help on this:
    Dr. did a left subclavian Groshong placement with fluoroscopy.
    I coded it as:
    36561-LT
    76001-26
    Medicare denied because:
    procedure code is inconsistent with modifier used or modifier is missing...we have tried twice to send this through. I just looked at the CCI Edits and it shows that a 59 modifier should be attached. Does this sound correct, and then still use the -26 modifier?
    Thanks for any help I can get...

  2. #2
    Join Date
    Apr 2007
    Location
    Phoenix, AZ
    Posts
    621

    Default

    Hi there,

    Your fluoro code should be 77001-26. The 76001 looks like its for bronchoscopy, nephrostolithotomy, ERCP and transbronchial bx.
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

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