AMA CPT® Assistant - 2009 Issue 12 (December)

Surgery: Cardiovascular System (December 2009)

December 2009 page 11 Bonus Feature:Surgery: Cardiovascular System Question: Can code 36593 be reported more than once per day for declotting of a central venous access device or catheter? Ann Waters, RHIT, CCS Answer: Yes. In the event declotting of the central venous access device or catheter is required more than once per day, code 36593, Declotting by thrombolytic agent of implanted vascular access device or catheter, can be reported with the modifier 59, Distinct procedural service, appended. Declotting of a partially or completely implanted device or catheter may necessitate the use of a thrombolytic agent (eg, Urokinase), which...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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