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Vascular

Teresa Posted Thu 16th of January, 2020 14:50:05 PM
While attempting to bill 37228-LT, 27221-LT and 36247 Humana is requesting another modifier. I don't see there's a need for anything but the LT/RT, Help please
SuperCoder Answered Fri 17th of January, 2020 02:10:49 AM

Hello Teresa,

Thank you for your question.

 

As per the above presented documentation, 27221 is not a valid CPT® code. Please provide us with a valid CPT® code.

 

Also, kindly provide us with some brief about the procedures performed, as vascular procedures are specific to the vessels and its territories. Once we’ll go through the procedure, then we’ll be able to provide you with an appropriate code(s) and related modifiers.

 

Hope that helps!

Thanks

Teresa Posted Wed 22nd of January, 2020 15:19:42 PM
It's 37221, sorry!
SuperCoder Answered Thu 23rd of January, 2020 07:40:32 AM

Hello Teresa,

Thank you for your additional information.

 

Kindly provide us with some brief about the procedures performed, as vascular procedures are specific to the vessels and its territories. Once we’ll go through the procedure, then we’ll be able to provide you with an appropriate code(s) and related modifiers.

 

As per CCI edit, 36247 is a column 2 code for CPT® code(s) 37221 and 37228. Hence, we would be requiring some information about the performed procedure(s) in order to understand the query better.

 

Thanks

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