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Peripheral angiography during left heart cath

Date: Jun 10, 2022

Question:

Our providers routinely perform a bilateral lower angiography (75716) when they are performing their pre-op TAVR left heart caths (93458). NCCI edits indicate the angiography as bundled with the cath; however, our providers believe the peripheral angiography warrants a -59 modifier since an angiography of the iliofemoral system is not a routine part of a left heart cath. Can we bill a lower extremity angiography with a -59 or -XU modifier at the same time as the left heart cath?

Question ID : 17357
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