On Demand: Coding and Documentation Concepts for Venous Diagnostic and Procedure Services-Question and Answer

Question and Answer

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In this Q&A document, various questions related to coding and documentation for venous diagnostic and procedures are addressed. Some of the key points mentioned include:<br /><br />- Modifier 59 is appended to the second 93970 code, not the first.<br />- Modifier XS is recommended for reporting 93970 when performed on the upper and lower extremities on the same day.<br />- Procedure code 36478 is not used for a TIPS procedure, but rather for the treatment of incompetent vein in the extremity.<br />- Venous angioplasty (37248) can be coded after a mechanical thrombectomy (37187) in the same vessel.<br />- The appropriateness of billing a procedure with a 53 modifier in the case of a complication during a planned RFA depends on the specific circumstances and documentation.<br />- Procedure code 36012 can be submitted multiple times (up to 4) if medically necessary.<br />- IVUS can be billed for a TP trunk vessel evaluation as a separate vessel, but not for intervention.<br />- Real-time documentation is important for reporting code 76937 accurately.<br />- The billing of code 76937 on both legs depends on individual carrier preferences.<br />- There should be one catheter placement code unless there are two accesses or multiple selective placements.<br />- Code 36010 can be used for lower extremity venograms with access through the GSV.<br />- Mechanical thrombectomy in two separate veins can be billed separately only if done bilaterally with a 50 modifier.<br />- The coding of IVUS (37252 and 37253) depends on the specific findings and documentation.<br />- Only the most selective catheter placement should be coded unless there are two accesses.<br />- A basilic approach going to the ipsilateral subclavian vein is coded as 36005.<br /><br />These questions provide clarification on coding and documentation requirements for various venous procedures.

Keywords

coding

documentation

modifier 59

modifier XS

procedure code 36478

venous angioplasty

mechanical thrombectomy

RFA

IVUS

catheter placement code