This website uses cookies to store information on your computer. Some of these cookies are used for visitor analysis, others are essential to making our site function properly and improve the user experience. By using this site, you consent to the placement of these cookies. Click Accept to consent and dismiss this message or Deny to leave this website. Read our Privacy Statement for more.
Print Page | Sign In | Join Now
ASDIN Physician Blog
Blog Home All Blogs
This blog is a networking resource for ASDIN members. It is not intended to be utilized as legal or medical advice. ASDIN offers this blog as is, without any express or implied warranties, or other assurances as to the content of the material contained herein. ASDIN assumes no responsibility for errors or omissions contained herein, or for any actions taken or damages suffered by any person on the basis of, or in reliance upon, any of the information contained herein. Cases and images should ALWAYS be stripped of any/all patient-specific information (name, DOB, MR#, etc.). Cases should be well thought out and suitable for distribution. Language usage should be polite, collegial, and professional. If it is found that a participant is not using appropriate language, that participant’s comment may be blocked.

 

Search all posts for:   

 

Top tags: tunneled dialysis catheter  Policy and Procedure  articles of interest  AVF  central vein stenosis  Coding  billing  Central Stents  policies  svc thrombus  accessory veins  accessory veins/ Coils  articles of interest; RESCUE  ASC  ash  AVF endovascular at SSM STL  AVF Maturation  CABG  case  Catheter Exchange  Catheter Selection; catheter; tunneled dialysis ca  Clot at tip of hemodialysis catheter  clotted forearm graft  codes  Consents  consult  Conversion  COVID-19  Declot  dialysis staff 

Billing for Inpatient Consult for Vascular Access
Posted By Fernando Ariza, Monday, August 26, 2024

Hi Everyone: 

  I am working both general OP and Inpt Nephrology and doing Procedures in the hospital.  I've seen that the Vascular Surgeons do a Consult on the patients they get asked to do procedures and obviously do a separate procedure note. This is an opportunity to bill for 2 services and it actually is useful so one gets to know the patients and anticipate particular issues and avoid complications, i.e. having had a device in the past on either neck, sensitivities to moderate sedation , review labs etc 

  However If they place a consult for me - not my own patient I'm rounding on - I don't think there can be 2 nephrology inpatient consults, and I wouldn't think that we can do a consult as Vascular Surgery as we are Not.  so the Question: 

  a) Is there a code for Interventional Nephrology inpatient or for that matter outpatient consultations ? 

  b) Is there anyone else facing this issue and how are you addressing it ? 

 

Thanks 

 

Fernando 

Tags:  billing  consult  PermCath 

Permalink | Comments (3)
 

Coding/Billing Question
Posted By Nephrology Associates PA Vascular Access Center, Tuesday, September 10, 2019

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!

Tags:  billing  codes  reimbursements 

Permalink | Comments (0)