Is CPT 76937 an add on code?

Is CPT 76937 an add on code?

It should be noted that, unlike CPT 76942, CPT 76937 is an add-on code—meaning that it must be billed in conjunction with another procedure code that is also listed on the same claim form. Historically, that has been a code reflecting the placement of a central line (CVP), typically CPT 36556.

What is the primary CPT code for 76937?

CPT code 76937 is defined as “ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent real time ultrasound visualization of vascular needle entry, with permanent recording and reporting”.

Does 36620 need a modifier?

Certain types of services don’t require the use of the modifier for add on services. Sarterial catheterization code 36620 (Arterial catheterization or cannulation for sampling, monitoring or transfusion [separate procedure]; percutaneous) and you’ll see a symbol to the left of the code.

Does Medicare cover 76937?

Under the OPPS, Medicare does not pay for code 76937, but it should be assigned if the procedure is performed in accordance with the requirements listed.

What is the correct order of modifiers?

The general order of sequencing modifiers is (1) pricing (2) payment (3) location. Location modifiers, in all coding situations, are coded “last”.

Which modifier goes first 79 or LT?

Note the use of modifiers RT to indicate the right eye in the initial procedure, and LT to indicate the left eye in the subsequent procedure. The “paying” modifier, or the modifier that may affect payment (in this case, modifier 79), is listed before the HCPCS anatomical, or “informational” modifier.

What is the difference between modifier 78 and 79?

Modifier 78 Definition: “Unplanned return to the operating or procedure room by the same physician following initial procedure for a related procedure during the post-operative period.” Modifier 79 Definition: “Unrelated procedure or service by the same physician during a post-operative period.”

Which code does the 59 modifier go on?

Modifier 59 should be used to distinguish a different session or patient encounter, or a different procedure or surgery, or a different anatomical site, or a separate injury. It should also be used when an intravenous (IV) protocol calls for two separate IV sites.

Is it allowable to Bill 76937 with CPT code 36620 (a-lines)?

However, CPT code 36620 is not listed as one of the codes you should not report in conjunction with 76937, which leads to the question, is it allowable to bill 76937 with 36620 (A-Lines) if all required documentation is found in the medical record?

What is the difference between CPT codes 76937 and 76942?

As stated in the CPT manual, you may not report 76937 with any of those codes. 76942 is billed when US is used for needle placement for injections for pain management (some codes include visualization, so you will need to reference the CPT manual to see if it’s bundled).

Can I Bill ultrasound guidance 76937 twice?

We are billing ultrasound guidance 76937 x 2 when performing two procedures (line placements or pain procedures). I am trying to ascertain if it correct coding to bill this service (76937) twice as we are receiving denials stating we are only allowed to bill 1 per day. 76937 is billed when US is used for visualization for vascular needle entry.

What is the NCCI 76937 ultrasound guidance for vascular access?

Per Z-Health Publishing Diagnostic & Interventional Cardiovascular Coding Reference -” Ultrasound guidance for vascular access (76937) is bundled with cardiac catheterization and coronary interventional procedures per the NCCI Manual. This guideline also applies to electrophysiology, pacemaker, and defibrillator procedures.