tci General Surgery Coding Alert - 2005 Issue 6

Use Guidance to Recoup Additional Pay With CVAs

Apply modifier -26 for services in a facility settingYou can report imaging services using fluoroscopic or ultrasonic guidance separately under some circumstances, but your documentation must meet CPT and facility criteria. Call on 76937 for Ultrasound If the physician uses ultrasound guidance, your code of choice should be +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]). You may report this procedure along with the appropriate CVA placement...

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