Please note this question was answered in 2022. The coding advice may or may not be outdated.
36200 bundled to 34713?
Question:
Anthem has a payer-specific edit bundling 36200 with 34713. Do you think an unbundling modifier may be added to 36200 or allow it as bundled?
"CFA was accessed with micropuncture kit under ultrasound guidance. Microsheath was upsized to 5 French sheath. Right groin access site was preclosed with ProGlide x2, and 5 French sheath was upsized to 9 French sheath. Pigtail catheter was advanced into the ascending aorta, and it was connected to the power injector. The patient was moderately heparinized with 3000 units of heparin. Right groin 9 French sheath was upsized to 20 French Gore DrySeal sheath over stiff wire. Gore C-Tag 28 mm x 10 cm endograft was deployed just distal to the left subclavian artery. Completion angiogram showed successful exclusion of the aortic pseudoaneurysm. The sheaths were retracted from the groin. Right groin access was closed by completing the deployment of ProGlides. Left groin access was controlled with manual pressure. Sterile dressing was applied to bilateral groins. Patient tolerated procedure well."
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