Good news if you're a physician that performs central venous access services, your services rendered may qualify for extra payment. The CPT codes 76937 and 75998 can be used in medical billing to provide extra CVA payment. When a physician performs an ultrasound-guided procedure, the code 76937 will give additional money if the vascular access required ultrasound guidance. The medical necessity of this procedure must be documented or the qualification for extra payment.

When used, CPT code 76937 can be billed separately from the CVA placement code. Please note that this code is only allowed to be used one time per session with the patient not matter how many sites were checked on the patient for the best entry point.

Follow this guideline closely to avoid denials, do not use CPT code 76937 if the ultrasound was only used to identify a vein to mark on the patient's skin. The ultrasound must have been used to actually guide the needle into the patient's vein.

Another valuable code that can be used to provide additional payment for a CVA procedure is 75998. This is used for fluoroscopic guidance. This code is used when fluoroscopic guidance is needed to assist catheter placement or manipulation. When used, this procedure is reimbursed separately from that actual placement procedure. In order to receive additional payment, both of these procedures require medical documentation and the use of modifier 26.

Use these tips and make sure you're getting the maximum reimbursements for your medical billing claims!

Labels: medical-coding