We received this email from our Billing Coordinator today:

"We are still not getting paid when we bill the 36595 with modifier 52.  I called Medicare again today to clarify and the code is being bundled with the  36581.  The only way to un-bundle this would be with a modifier.  I am not sure if there is an appropriate modifier to use in these cases as the 36595 is being done at the same site as the 36581.  Any guidance you could give me on this would be appreciated.  Thank you!"

I offered to share it here to see if anyone has had any luck getting this code paid, what modifiers they are using, etc.  We do use the coding manual tip of adding an additional statement to our procedure note.

Any info would be appreciated, thanks!