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Date: Aug 13, 2010

Question:

Hi, Very complex case and need help with modifiers...PLEASE HELP!!! Aortography with findings of bilateral renal arteries, infra renal abdominal findings and bilateral common iliac findings. Would you code 75630 or 75625 They then IVUS the left common iliac and proceed with stenting. Next they stent the right common iliac. Then they ivus the aorta and procede with a stent. they then stent both renal arteries. Should I append modifier 59 to the additional stent and S&I codes for the four additional stents placed?

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