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Leorah Posted Tue 19th of June, 2018 01:39:25 AM
Our patient was admitted with bilateral venous sinus stenosis along with a diagnostic cerebral angiogram our doctors performed a venography. They checked the internal jugular vein, the right transverse sigmoid sinus, the torcula/superior sagittal sinus, the left transverse sigmoid sinus and the left internal jugular vein. Please inform me about the various codes I may submit for the venography. Thank you
SuperCoder Answered Thu 21st of June, 2018 04:33:05 AM

Hi Leorah,


CPT codes 75860 and 36012 seems appropriate for the above mentioned scenario.


Hope this helps!

Leorah Posted Mon 01st of April, 2019 05:08:05 AM
Would I submit 36012 two times for the right and left sides? If so should I use a 50 modifier or RT/LT or just a 59?
SuperCoder Answered Tue 02nd of April, 2019 07:21:10 AM

Thank you for your Question!

Modifiers 50/LT/RT are applicable to CPT code 36012. Modifier 50/LT/RT can be appended as per the documentation. Some payer don't accept LT/RT when modifier 50 is applicable. Please check with your payer for specific billing guideline.


Note: Do not bill modifiers LT and RT on the same service line when using modifier 50 to indicate a bilaterally performed procedure. Modifier LT or RT should be used to identify which of the paired organs was operated on. Billing procedures as two lines of service using the LT and RT modifiers is not the same as identifying the procedure with modifier 50. Modifier 50 is the coding practice of choice when reporting bilateral procedures.

Hope this Helps!

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