Wiki AV fistula by vein transposition

[jenmar]

Hello...I have here a brachial basilic vein transposition being done in 2 stages. I'm not sure if I should code 36821-58 for the first part and 36819-58 for the second or just code 36819-58 both times. Anyone have any insight on this??? Thanks a bunch

 

[jmcpolin]

You would only apply the 58 modifier to the second procedure.

 

[jenmar]

Thanks for the quick info