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My question is, can we code 36598 along with 36581 or is it part of the procedure?
Any help would be great..
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Does CPT code 51701 need to have a modifier attached?
Example 1: Patient with Medicare insurance has vulvar lesion with postmenopausal bleeding that is biopsied. Codes used were 99213-25, 51701, 56605-59, & 58100-59. For Number 3 Office Call, straight catheterization, biopsy of vulva, & Endometrial biopsy.
Example 2: Patient with BC/BS insurance comes in for urodynamics testing, no Office Call. Codes used were 51701, 51728, 51741, 51784, 51797. For straight catheterization, complex CMG with bladder voiding pressure, complex uroflow, EMG, abdominal pressure, add on code.
I did not use one because the CPT book does not list this code as a separate procedure and I used a 25 modifier on Example 1 for the Office Call. I’m getting more cofused the longer I look at this and try to figure out why. Please help!!
Thank you!
A pigtail 14 French drainage catheter is seen along the right lateral abdomen on scout imaging. Numerous internal common bile duct endoscopically placed stents are in place in addition to numerous coils overlying the porta hepatis region. Gentle contrast injection into the 14 French biliary drainage catheter shows some communication with the biliary tree which appears decompressed and evidence of a small biloma. Because of this a drainage catheter was not removed and a small sample was obtained and sent to labratory for culture and sensitivity with copy sent to primary care physician.
A total of 0.7 minutes fluoroscopy time utilized. Total of 3 cc of Isovue-300 gentle contrast administration into the existing 14 French biliary drainage catheter. The exit of the catheter was securely taped to minimize withdrawal and communication gibven for later assessment by the initial service placing the 14 French catheter as to whether or not they would like replacement or removal.
Thank you in advance for any help!
Jen
Any inputs please…..