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Spinal and angiogram

Leorah Posted Sun 22nd of March, 2020 15:41:42 PM
The Dr. performed an angiogram with 36224 (RT), 36224 (LT), injection of the vertebral 36226 (RT), 36226 (LT), external artery (36227 RT), and 36227 (LT), 6-36215 codes(36215 (59), 6- 36245 codes 36245 (59), right supreme intercostal 36217 (RT), and the left supreme intercostal 36217 (LT). 2- 75710 codes 75710 (26,59) and 20- 75705 codes. We were not paid for the 36224(LT) because the procedure code was rebundled and we were not paid for both 36217 because it is missing or has an invalid modifier. Please explain what I need to change thanks
SuperCoder Answered Mon 23rd of March, 2020 07:39:29 AM

Hi Leorah,

 

Thank you for your question,

 

CPT code for right and left internal carotid artery selective catheterization and angiography of both carotids (extracranially and intracranially) would be 36224.

 

CPT code for left thyrocervical trunk would be 36216-59 (modifier 59 to indicate distinct procedure as per CCI guidelines).

CPT code for right thyrocervical trunk would be 36217-59 (modifier 59 to indicate distinct procedure as per CCI guidelines).

NOTE:

For further information:

 

Right and left vessels belong to different vascular families; therefore, code separate catheterizations when performed. 

 

CPT guidelines state, “Only one code in the range 36222-36224 may be reported for each ipsilateral carotid territory. Only one code in the range 36225-36226 may be reported for each ipsilateral vertebral territory.” So the two areas have separate hierarchies. These presentation slides include examples that may help

 

http://static.aapc.com/a3c7c3fe-6fa1-4d67-8534-a3c9c8315fa0/e0bdf19e-6a7c-4179-9300-8acc467f224e/34bbafd4-19c0-4fca-934d-63c2532ec377.pdf

 

Feel free to ask for any further query.

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