Ask Dr. Z

Ask Dr. Z Knowledge Base houses over 7,500 coding questions and answers dating back to 2013.

Ask Dr. Z Disclaimer

Please note this question was answered in 2020. The coding advice may or may not be outdated.

Modifier CG w/37242

Date: Jan 27, 2020

Question:

Code 37242 is on the intense device-to-procedure edits; however, during this particular case Trufill was used to close the Triple AAA leak, which HIM coded 37242. This product does not have a HCPCS assigned, and it may be considered off label used in the method it was during this case. A response from MAC indicated -CG modifier may need to be applied on certain device-dependent procedure when placement of a device was not completed. I'm very confused by this response and not sure a modifier is needed. Is this a possible miscoding issue?

Question ID : 13495
Sign up for a membership to view the answer to this question.

Need to ask Dr.Z?

Don't see the answer you're looking for in the knowledge base? No problem. You can ask Dr. Z directly!
Ask Dr. Z a question now!