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Angiovac procedure and Modifier 26

Date: Oct 30, 2018

Question:

Our providers perform the AngioVac procedure for removal of a vegetation, thrombus, or clot in the heart by connecting the patient with large bore venous access (femoral vein, jugular vein) to an extracorporeal pump similar to a percutaneous RVAD or ECMO without the oxygenator. No artery was accessed, as it was venous. We have been billing unlisted code 93799 since there really isn't a code that fit the procedure. We are now receiving denials back that they are wanting a -26 modifier added to this charge. Is it appropriate to add this modifier for this procedure?

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