tci General Surgery Coding Alert - 2003 Issue 3

You Be the Coder: Watch Dx and Modifiers with Thrombectomy

Test your coding knowledge. Determine how you would code this situation before looking at the box below for the answer.Question: Our surgeon performed a thrombectomy several weeks after placing an arteriovenous (AV) fistula. We reported 36833 for the procedure, but the payer denied the claim. How should we have coded this? Michigan Subscriber   Answer: The problem may be your diagnosis code or your use (or lack of use) of modifiers. Thrombectomies performed during the global period of the AV fistula's creation are not bundled, but the diagnosis code you link to the procedure can make a difference...

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