CPT code 75952 is for imaging guidance during the endovascular repair of an abdominal aorta, aiding in precise placement of the stent or graft.
CPT code 75952 is used to describe the imaging supervision and interpretation services associated with the endovascular repair of an abdominal aorta. This procedure involves using imaging techniques, such as fluoroscopy, to guide the placement of a stent graft within the abdominal aorta to treat conditions like aneurysms. The code specifically covers the radiological component of the procedure, ensuring that the placement of the stent is accurate and effective.
1. Modifier 26 - Professional Component
- Used when billing for the professional component of the service, typically by a physician or other qualified healthcare professional.
2. Modifier TC - Technical Component
- Applied when billing for the technical component of the service, usually by a facility or hospital.
3. Modifier 59 - Distinct Procedural Service
- Utilized to indicate that a procedure or service was distinct or independent from other services performed on the same day.
4. Modifier 51 - Multiple Procedures
- Used when multiple procedures are performed during the same session by the same provider.
5. Modifier 62 - Two Surgeons
- Applied when two surgeons work together as primary surgeons performing distinct parts of a procedure.
6. Modifier 66 - Surgical Team
- Used when a team of surgeons is required to perform a complex procedure.
7. Modifier 76 - Repeat Procedure by Same Physician
- Applied when the same procedure is repeated by the same physician on the same day.
8. Modifier 77 - Repeat Procedure by Another Physician
- Used when the same procedure is repeated by a different physician on the same day.
These modifiers are essential for accurate billing and reimbursement, ensuring that the nuances of each procedure are properly communicated to payers.
CPT code 75952 is indeed reimbursed by Medicare, as it is included in the Medicare Physician Fee Schedule (MPFS). The MPFS is a comprehensive listing of fees used by Medicare to reimburse physicians and other healthcare providers for services rendered.
However, it's important to note that reimbursement rates and policies can vary based on the specific Medicare Administrative Contractor (MAC) responsible for processing claims in a given geographic region. Each MAC may have its own local coverage determinations and guidelines that can influence the reimbursement process for CPT code 75952.
Therefore, healthcare providers should verify the specific reimbursement details with their respective MAC to ensure compliance and accurate billing.
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