tci General Surgery Coding Alert - 2000 Issue 3

Reader Question: IVC Filter

Question: I have been having problems billing for inferior vena cava (IVC) filter placement. Medicare is not paying the physicians fee, only the hospital fee. What should I do?Anonymous Florida SubscriberAnswer: The reader seems to be billing only the radiology portion of the service and forgetting about the procedural code, which is 37620 (interruption, partial or complete, of inferior vena cava by suture, ligation, plication, clip, extravascular, intravascular [umbrella device]), says Kathleen Mueller, RN, CPC, CCS-P, an independent general surgery coding specialist in Lenzburg, Ill. The fee associated radiological procedure (75940, percutaneous placement of IVC filter, radiological supervision...

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