Wiki AAA Endovascular Repair CoSurgery

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If the surgeon perfoms Introduction of catheter 36200 for the right side and the radiologist performs this same procedure on the left do we bill:
Surgeon 36200-RT
Radiologist 36200-LT
or do they bill 36200-50-62?
Also how would we bill the limb extender 34825- the contralateral gait was accessed(radiologist). A contralateral limb was deployed(surgeon)the remainder of the main body was deployed. An ipsilateral limb extender was then placed to extend the ipsilateral limb of the fraft to obtain seal into the left common iliac artery(radiologist)
would the radiologist bill 34825
and nothing for the surgeon????
or do we bill 34825-62?
Is it true if the physician performs an extension of the limb we should not be billing 36200 in addition to 34825?
 
E.R.CPC said:
If the surgeon perfoms Introduction of catheter 36200 for the right side and the radiologist performs this same procedure on the left do we bill:
Surgeon 36200-RT
Radiologist 36200-LT
or do they bill 36200-50-62?
Also how would we bill the limb extender 34825- the contralateral gait was accessed(radiologist). A contralateral limb was deployed(surgeon)the remainder of the main body was deployed. An ipsilateral limb extender was then placed to extend the ipsilateral limb of the fraft to obtain seal into the left common iliac artery(radiologist)
would the radiologist bill 34825
and nothing for the surgeon????
or do we bill 34825-62?
Is it true if the physician performs an extension of the limb we should not be billing 36200 in addition to 34825?
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For CPT 36200 depending on your payor; you are correct and would bill
surg 36200.RT and Rad. 36200.LT or for the insurance I bill for they like surg 36200 and Rad 36200.59 You would not use the 62 modifier on 36200 codes.

A really good free EVAR resource with examples of coding for assit surg or co-surg is at this site. I think it will help you a lot with your questions on which modifier to use and how divide the procedure. I use this reference often when coding these types of procedures. http://www.goremedical.com/resources/dam/assets/AL0805-EN7.pdf

HTH, Misty Sebert CPC, CCC, CCVTC
 
Thanks for your reply I saved the link you sent me. Would you be able to answer the other questions on the list regarding the extender 34825?
 
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