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36595-52 and 36581

Date: Oct 30, 2018

Question:

Are codes 36595-52 and 75901 correct for PTA of a fibrin sheath through the same access site during a replacement of the existing CVC without port? The NCCI edits as of July 1, 2018, have a bundling issue with codes 36581 and 36595. It states modifier -59 is allowed with the 36595, so do I charge 36595 with a -52 modifier and a -59 modifier?

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