Please note this question was answered in 2022. The coding advice may or may not be outdated.
Billing 33508 and 33509
Date: Jun 22, 2022
Question:
In 2021, code 33508 falls under NCCI Edit 1 and can be billed with modifier -59. We still get denials that it is an integral component of the procedure and therefore procurement of saphenous vein should not be reported separately with the venous graft codes. Is it appropriate to bill this and how do we fight it in an appeal? Any suggestions? We now have the same issue with the new code 33509.
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