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Carotid and vertebral CPT codes

Date: Jan 25, 2013

Question:

Hi, I have been reading the increasing number of questions regarding some of the new codes pertaining to the carotids. I have a doctor that frequently performs selective bilateral common and external carotids and these codes are just not clear to me. Could you help. I see add on codes 36227 to be used with 32666,36223 or 36224 and add on code 32668 to be use with 36224 or 36226. When would these apply I also have a question of how to bill bilaterl selective subclavian angio. There does not seem to be an add on code for 36225. Do we or do we not append the 50 modifier to these codes? Any suggestions would be greatly appreciated. Thanks J Anderson
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