tag:blogger.com,1999:blog-4399069857710409009.post6554425013300059367..comments2024-01-26T15:59:55.211-08:00Comments on Medical Billing and Coding Online: Varicose Vein Procedures CPT-4 Codes: Treatment, Supplies and EvaluationAdnan Malikhttp://www.blogger.com/profile/05649149066792703854noreply@blogger.comBlogger24125tag:blogger.com,1999:blog-4399069857710409009.post-2720020989360303452018-10-29T12:06:32.654-07:002018-10-29T12:06:32.654-07:00For example, I billed 36475 and 37765 for the RT l...For example, I billed 36475 and 37765 for the RT leg on 9/4. On 9/25 I bill 36475 for the LT leg and they are denying the 9/25, do I need to use Modifier -59?Mandynoreply@blogger.comtag:blogger.com,1999:blog-4399069857710409009.post-84744367900873435992017-10-25T10:31:32.407-07:002017-10-25T10:31:32.407-07:00If we do a 36475-RT on Monday and then a 37766-RT ...If we do a 36475-RT on Monday and then a 37766-RT on Wednesday, and then the patient comes in complaining of pain from the 36475 and we do an ultrasound, what modifier do I use with 93971?Billerhttps://www.blogger.com/profile/06896409237234792336noreply@blogger.comtag:blogger.com,1999:blog-4399069857710409009.post-53426374093457339852016-09-22T03:28:43.994-07:002016-09-22T03:28:43.994-07:0037766 and 37765 billed with LT & RT Modifier a...37766 and 37765 billed with LT & RT Modifier also 37700 billed with LT & RT on same DOS. Medicare denied as medically necessity...HelpAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4399069857710409009.post-1150284273064892772016-01-20T13:41:39.768-08:002016-01-20T13:41:39.768-08:00Is there a CPT code for the Tumescent anesthesia t...Is there a CPT code for the Tumescent anesthesia that can be billed with codes 36478 and 37766? Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4399069857710409009.post-38946749305986500132015-06-07T21:29:49.866-07:002015-06-07T21:29:49.866-07:00You should bill Modifier 25 with Evaluation and ma...You should bill Modifier 25 with Evaluation and management code and LT/RT with CPT 29580 (use modifier 50 with 29580 if services were performed bilaterally otherwise not)<br />99213-25, 29580-LT/RT or 29580-50 for bilateral, 993971 (ICD code you use, should be appropriate or support medical necessity for CPT 29580)<br />Medical billing codingnoreply@blogger.comtag:blogger.com,1999:blog-4399069857710409009.post-36247409489566755182015-06-07T21:25:16.686-07:002015-06-07T21:25:16.686-07:00Yes both codes are payable on same day if two diff...Yes both codes are payable on same day if two different Scan/exam were performed but it must be supported by documentation otherwise you should not report both services together on same day.Medical codernoreply@blogger.comtag:blogger.com,1999:blog-4399069857710409009.post-10588771531805632282015-06-07T21:04:42.720-07:002015-06-07T21:04:42.720-07:00This Question has been answered. see aboveThis Question has been answered. see aboveAnonymoushttps://www.blogger.com/profile/05133262582088635460noreply@blogger.comtag:blogger.com,1999:blog-4399069857710409009.post-14387285681492791062015-06-07T20:59:33.857-07:002015-06-07T20:59:33.857-07:00Thanks Lisa, You can bill CPT 36475x1 for initial ...Thanks Lisa, You can bill CPT 36475x1 for initial vein treated and in conjunction bill also CPT 36476x1 when second or subsequent vein treated through a new incision site. Please note 36475 is primary code for first vein and CPT 36476 is add-on code used to bill when additional veins are treated by surgeon. For multiple veins treatment on same day you should report 36476 only once with conjunction to primary add-on code 36475. It is not correct to report 36476 twice on same day.Anonymoushttps://www.blogger.com/profile/05133262582088635460noreply@blogger.comtag:blogger.com,1999:blog-4399069857710409009.post-51821821958498397622015-06-07T20:42:28.252-07:002015-06-07T20:42:28.252-07:00Since there is no global period for procedure 3647...Since there is no global period for procedure 36475 defined in CPT book so in that case you do not need to append modifier 79 with 36471 on day 2.Medical codernoreply@blogger.comtag:blogger.com,1999:blog-4399069857710409009.post-4010852180180883562015-06-07T20:32:47.336-07:002015-06-07T20:32:47.336-07:00For billing CPT code 36475 Modifier LT,RT or Modif...For billing CPT code 36475 Modifier LT,RT or Modifier-50 can be used if bilateral services are performed. If procedure is performed as unilateral then coding should be as only one unit without modifier or code LT or RT, Bill CPT 36475 if first vein is treated and for additional or second vein treatment on same day you have to bill CPT 36476 also.Farhan Maliknoreply@blogger.comtag:blogger.com,1999:blog-4399069857710409009.post-20800431612657590372015-06-07T20:22:07.051-07:002015-06-07T20:22:07.051-07:00Do not bill CPT code 76942 for ultrasound guidance...Do not bill CPT code 76942 for ultrasound guidance with CPT code 36475-36479 for endovenous lasion ablation because all imaging guidance already included in CPT 36475 so if you bill these two codes together then insurance will pay only one code or just for endovenous laser ablation procedure which has higher reimbursement amount. Some local commercial carrier may be pay both CPT codes but Medicare do not pay for both codes when bill together.Anonymoushttps://www.blogger.com/profile/05133262582088635460noreply@blogger.comtag:blogger.com,1999:blog-4399069857710409009.post-57115699794761465452015-06-07T20:20:10.122-07:002015-06-07T20:20:10.122-07:00The reimbursement for CPT code 76942 depend upon y...The reimbursement for CPT code 76942 depend upon your locality, medicare carrier name and percentage of the fee schedule you are contracted..<br />suppose if your fee schedule is 100% of Medicare ny then Medicare reimbursement will be as<br />$94.24 for Global <br />$41.03 for profession component(26)<br />$51.21 for Technical componentMedical billing codingnoreply@blogger.comtag:blogger.com,1999:blog-4399069857710409009.post-22418327121884936892015-06-07T20:00:46.577-07:002015-06-07T20:00:46.577-07:00No! You cannot bill at the same time the Duplex sc...No! You cannot bill at the same time the Duplex scan CPT code 93971 with CPT 36475 endovenous ablation because the ultrasound scanning, imaging guidance and monitoring are alreay included in CPT code 36475. CPT 93971 will be denied always by insurance if you bill it with CPT 36475 on same day.<br /><br />However you can CPT 36475 and 37765 together on same day for varicose veins and Medicare/Commercial Insurances both will pay the claim.Farhan Maliknoreply@blogger.comtag:blogger.com,1999:blog-4399069857710409009.post-55308849052209813832015-06-07T19:55:59.031-07:002015-06-07T19:55:59.031-07:00First confirm that whether you are looking for CPT...First confirm that whether you are looking for CPT code for Anesthesia performed for RF procedure or another procedure to block nerve which is other than RF procedure? <br />Please describe in detail to answer your question regarding "CPT code for the actual numbing of the veinsFarhan Maliknoreply@blogger.comtag:blogger.com,1999:blog-4399069857710409009.post-16834004677678779402015-01-09T06:00:32.565-08:002015-01-09T06:00:32.565-08:00Is there a code for the "medication" (ch...Is there a code for the "medication" (chemical) used for sclerotherapy (chemical ablation)...ie Sotradecol ? Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4399069857710409009.post-61551863688834888442014-12-10T09:08:28.809-08:002014-12-10T09:08:28.809-08:00Can we bill 36476 Multiple time if the Primary Vei...Can we bill 36476 Multiple time if the Primary Vein is 36475 -gsv and then 36476 cx and 36476 perf? I really am trying to see if we can bill the 36476 more than once on same dayAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4399069857710409009.post-63349020799341730212014-11-11T14:45:54.275-08:002014-11-11T14:45:54.275-08:00how would i bill icd9 93971, 29580 , 99213 and the...how would i bill icd9 93971, 29580 , 99213 and the modifiers they needAnonymoushttps://www.blogger.com/profile/00598880906531146192noreply@blogger.comtag:blogger.com,1999:blog-4399069857710409009.post-15773671652227900562014-10-24T09:46:58.691-07:002014-10-24T09:46:58.691-07:00Hello, I just joined this practice and I have noti...Hello, I just joined this practice and I have noticed the previous biller would use 93970 and 93971 same day and both were actually paid . Can some one please tell me when is okay to bill these two together as 93970 is bilateral and 93971 is unilateral. <br />Thank you Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4399069857710409009.post-13785513731404037442014-10-22T09:13:07.167-07:002014-10-22T09:13:07.167-07:00I believe Farhan's previous question relates t...I believe Farhan's previous question relates to coding 36476 more than once per session. I also have this same question.<br />Ex: Pt has RFA of right GSV, ASV, and SSV in the same session. <br />Would it be appropriate to code 36475-RT, 36476-RT x2?<br />Some carriers pay this and some deny. We are trying to get confirmation of correct billing for this procedure.Anonymoushttps://www.blogger.com/profile/07298814027549861510noreply@blogger.comtag:blogger.com,1999:blog-4399069857710409009.post-30925985350850091292014-08-22T09:15:40.135-07:002014-08-22T09:15:40.135-07:00Can you use a 79 modifier if a pt comes in for a 3...Can you use a 79 modifier if a pt comes in for a 36475 on day 1 and then a 36471 on day 2?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4399069857710409009.post-42988802101949027002014-07-29T09:38:58.009-07:002014-07-29T09:38:58.009-07:00should 93971 be billed at the same time as 36475 a...should 93971 be billed at the same time as 36475 and 37766?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4399069857710409009.post-45389198275383845312014-04-28T17:54:29.006-07:002014-04-28T17:54:29.006-07:00Can you bill a code for the actual numbing of the ...Can you bill a code for the actual numbing of the veins prior to the RF procedure?<br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4399069857710409009.post-15079259794247521362014-02-18T10:00:55.229-08:002014-02-18T10:00:55.229-08:00Can one bill 36476 with a modifier more than once ...Can one bill 36476 with a modifier more than once when treatment is being billed in conjunction with the 36475? Example 36475x1 36476x1 (Cx#1) then 36476x1(cx#2)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4399069857710409009.post-42515137604843616812014-01-26T08:58:57.942-08:002014-01-26T08:58:57.942-08:00What is the reimbursement for CPT code 76942 for u...What is the reimbursement for CPT code 76942 for ultrasound guidance for needle placement? And can you always bill this code for endovenous laser ablations?Anonymousnoreply@blogger.com