CPT CODES

CPT Code 36483

CPT code 36483 is used for a follow-up procedure involving chemical adhesive treatment for veins, typically performed after an initial session.

Table of Contents
What is CPT Code 36483
Does CPT 36483 Need a Modifier?
CPT Code 36483 Medicare Reimbursement
Are You Being Underpaid for 36483 CPT Code?
Accelerate your revenue cycle

Boost patient experience and your bottom line by automating patient cost estimates, payer underpayment detection, and contract optimization in one place.

Get a Demo

What is CPT Code 36483

CPT code 36483 is used to describe the procedure of endovenous chemical adhesive closure for subsequent veins. This code is specifically applied when a healthcare provider performs a minimally invasive treatment to close varicose veins using a chemical adhesive. The term "subsequent" indicates that this procedure is performed on additional veins after an initial treatment has already been conducted. This technique is often chosen for its effectiveness in reducing symptoms associated with varicose veins and improving the appearance of the affected area.

Does CPT 36483 Need a Modifier?

For CPT code 36483, which pertains to endovenous therapy using chemical adhesives for subsequent veins, the following modifiers may be applicable:

1. Modifier 50 - Bilateral Procedure: This modifier is used if the procedure is performed on both sides of the body during the same session. It indicates that the procedure was performed bilaterally.

2. Modifier 51 - Multiple Procedures: This modifier is used when multiple procedures are performed during the same surgical session. It helps in identifying that more than one procedure was conducted.

3. Modifier 59 - Distinct Procedural Service: This modifier is used to indicate that a procedure or service was distinct or independent from other services performed on the same day. It is often used to bypass National Correct Coding Initiative (NCCI) edits.

4. Modifier 76 - Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional: This modifier is used when the same procedure is repeated by the same provider on the same day.

5. Modifier 77 - Repeat Procedure by Another Physician or Other Qualified Health Care Professional: This modifier is used when the same procedure is repeated by a different provider on the same day.

6. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: This modifier is used when a related procedure is performed during the postoperative period.

7. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: This modifier is used when an unrelated procedure is performed by the same provider during the postoperative period.

These modifiers help in accurately reporting the circumstances under which the procedure was performed, ensuring proper billing and reimbursement. It's important for healthcare providers to use these modifiers correctly to avoid claim denials and ensure compliance with payer requirements.

CPT Code 36483 Medicare Reimbursement

CPT code 36483, which pertains to a specific medical procedure, is subject to reimbursement by Medicare, but this is contingent upon several factors. The Medicare Physician Fee Schedule (MPFS) plays a crucial role in determining whether a particular CPT code is reimbursed. The MPFS outlines the payment rates for services provided by physicians and other healthcare professionals, and it is updated annually to reflect changes in medical practice and economic conditions.

Additionally, Medicare Administrative Contractors (MACs) are responsible for processing Medicare claims and have the authority to make coverage determinations for specific services within their jurisdictions. This means that while CPT code 36483 may be listed on the MPFS, its reimbursement can vary depending on the local coverage determinations (LCDs) set by the MACs in different regions.

Healthcare providers should verify the reimbursement status of CPT code 36483 by consulting the MPFS and checking with their respective MACs to ensure compliance with any regional coverage policies. This due diligence is essential for accurate billing and optimal revenue cycle management.

Are You Being Underpaid for 36483 CPT Code?

Discover the power of MD Clarity's RevFind software to ensure you're receiving the full reimbursement you deserve. With the ability to read your contracts and detect underpayments down to the CPT code level, including specific codes like 36483, RevFind provides unparalleled accuracy and insight by individual payer. Schedule a demo today to see how RevFind can enhance your revenue cycle management and maximize your financial outcomes.

Get paid in full by bringing clarity to your revenue cycle

Get a Demo

Related CPT Codes

Full Page Background