tci General Surgery Coding Alert - 2009 Issue 10

Capture Separate CV Access Radiological Guidance

Be sure you follow modifier rules to prevent denials. Don't miss out on $20 per procedure when your surgeon performs central venous (CV) access device placements. If your physician uses fluoroscopic or ultrasonic guidance during the placement, you should separately report that service. Here's how. Choose Between +76937 and +77001 If your surgeon uses ultrasound guidance, report +76937 (Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites,documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry,with permanent recording and reporting [List separately in addition to code for primary procedure]) in addition...

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