tci Part B Insider - 2005 Issue 31

REIMBURSEMENT: Medicare Cuts Payment For Arterial Procedures

Beware bilateral changes this OctoberIf your practice does a lot of selective catheter placement of the arterial system (36215-36216) your practice could be in for a major pay cut starting Oct. 3. The Centers for Medicare & Medicaid Services changed the bilateral status indicator for 36215-36216 from "1" to "0," in Transmittal 652 (Change Request 4031), dated Aug. 19. Oftentimes, interventional radiologists will catheterize the right common carotid and the left internal carotid, and bill the same code twice, using the LT and RT modifiers, says Jackie Miller with Coding Strategies in Powder Springs, GA.But once the...

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