tci Part B Insider - 2007 Issue 41

PART B MYTHBUSTER: You Can Collect for Your Anesthesiologist's CVP Placement

If the surgeon bills it first, appeal with your documentationThe next time your anesthesiologist performs a central venous catheter placement (CVP), make sure his or her documentation is pristine--or the surgeon just might collect the CVP reimbursement that your practice deserves.Scenario: Suppose the anesthesiologist performs a CVP during surgery and dictates it in his note. He later bills for the CVP (for example, 36556) and the anesthesia. His Medicare payer reimburses him for the anesthesia but not the CVP, stating that the surgeon was already reimbursed for the CVP. In these cases, the surgeon probably dictated in his...

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