Tierni Posted Fri 06th of October, 2017 19:07:08 PM
I believe the 36140 is included when billing a 93454, but I wanted to see if that is still the case. My provider performed 93454,92928,93458,76937-26 & 36140x2. All codes were paid except 36140 stating that it is mutually inclusive to the 93454 & 93458. Is that correct?
SuperCoder Answered Mon 09th of October, 2017 01:15:22 AM
CCI edits do show a modifier indicator of “1” for the 93454/36140 edit, which means that you may override the edit with a modifier in appropriate circumstances. But any needle introduction or intracatheter introduction related to the 93454 service is included in the fee for 93454, you should not report 36140. You may consider reporting 36140 with a modifier on the same date as 93454 when the 36140 service is performed at a different session, site, for a different surgery, etc.
Hope that helps!