tfrick2
Networker
We are having issues when billing 78195 and 38792 on the same day. The patient is receiving a TC-99 injection from radiology and an Isosulfan Blue injection from the breast surgeon on the same day. We were advised to bill 38792 for the surgeon's injection of Isosulfan Blue dye for the identification of the sentinel node and 78195-52 to indicate nuclear medicine TC-99 injection without imaging, as no images are taken during these procedures. When we review the CCI edits for 78195 and 38792, the 52 modifier is not allowed. We feel this is incorrect advice and would like some guidance on how best to code this procedure. Thank you for your time.