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Why would charges for aortograms or intro of a catheter into an extremity artery (CPT codes 36200 and 36140 respectively) be denied?

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Why would charges for aortograms or intro of a catheter into an extremity artery (CPT codes 36200 and 36140 respectively) be denied?

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Per the CPT manual, selective catheterization includes introduction and all lesser order selective catheterization used in the approach to the target vessel. Codes 36200 and 36140 represent nonselective catheterization and, therefore, should not be separately paid from the selective catheterization codes (e.g. CPT codes 36215-36217 and 36245-36247). In other words, nonselective catheterization is component to the more comprehensive selective catheterizations. We have recently discovered that the CCI tables do not reflect all of these bundling pairs. We referred this issue to CCI, and we have learned CMS will add the following column1 code/column 2 code edits: (36215-36217)/36200 and 36245/36140. Therefore, we will be editing for these codes to keep any overpayments from being made.

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