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36215-36216

Susan Posted Tue 01st of February, 2011 17:17:27 PM

Can both of these codes be billed out? Or is 36215 included in 36216 because you had to go through the 1st branch to get to the 2nd branch. Or would I use 36218 with 36215?

SuperCoder Answered Tue 01st of February, 2011 18:13:48 PM

From the information you provide (going through one vessel to get to the other), you should not report 36215 in addition to 36216. The CPT rule is that you should include catheter introduction and all lesser-order selective catheter positions within the same vascular family and accessed through the same approach in your selective vascular catheter code.

Also, CPT's note with 36218 states it is appropriate for use with 36216 and 36217. You should not use it with 36215.

The final coding will of course depend on the documentation for the specific case, but 36216 seems the most likely candidate based on the information here.

Regards,
Deborah

Susan Posted Wed 02nd of February, 2011 20:52:00 PM

That for you information it was very helpful.
Sue

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