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Can I bill a 36558 & a 36821 during the same operative session?

Date: Oct 4, 2023

Question:

Can I bill 36558 and 36821 during the same operative session? I am getting a denial as not separately payable.

Left radial cephalic AV fistula. 2. Right internal jugular tunneled hemodialysis catheter placement. 3. Removal of right femoral temporary dialysis catheter.

I did not bill for the temp cath removal, as there is no code I could find for that.

43-year-old female on peritoneal dialysis admitted with fluid overload, shortness of breath, cardiac tamponade who was not tolerating peritoneal dialysis and recommendation to convert to hemodialysis.

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