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Tag Archives: 76937

Modifier 26 on 77001 and 76937

Posted on by
Our surgeon is performing services at a hospital as an out patient service. The ins denied both 77001 and 76937 stating that the surgeon could only bill the professional component, not the technical component. Can anyone offer any insight into this? Should the surgeon only bill the professional component when these services are done at the hospital?

Medical Billing and Coding Forum

76937 on audit

Posted on by
Hello, can you help with the circumstances required to bill 76937 twice for (right groin) femoral vein and femoral artery access for heart catheterization? I billed once but the audit says it’s 2 separate sites.

Also, is there any reason 76937 can’t be billed with EP procedures? I am not seeing any CCI edits with 93653, 93609, 93621, or 93623. The audit reasoning states fluoroscopy codes are not separately reportable with 93600-93662 and additionally, ultrasound guidance is not separately reportable with these codes.

Any help would be immensely appreciated. I am so very close to the percentage I need. Thank you!

Medical Billing and Coding Forum

Ultrasound guidance 76937 for left.right heart cath

Posted on by
Hi all,

I have a few cardiologists that want to bill 76937 when they access the radial artery and wanted to know if this is acceptable. I thought I had read somewhere that 76937 was for venous access procedures not arterial. Long story short, the doctors are performing mostly left and right heart catheterizations.

Thank you in advanced!

Medical Billing and Coding Forum