Modifier V5 must be entered if a vascular catheter is present even if it is not being used for the delivery of the hemodialysis. In this instance 2 modifiers should be entered, V5 (Any Vascular Catheter (alone or with any other vascular access)) for the vascular catheter and either V6 (Arteriovenous Graft (or other Vascular Access not including a vascular catheter in use with two needles)) or V7 (Arteriovenous Fistula Only (in use with two needles)) for the access that is being used for the delivery of hemodialysis.
Reference: http://www.cms.gov/MLNMattersArticles/Downloads/MM7460.pdf
Blogger Widget
Popular Posts
-
Modifier - as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbur...
-
An OPPS payment status indicator is assigned to every HCPCS code. The status indicator identifies whether the service described by the H...
-
Claim Adjustment Reason Codes (CARC) CO-22 or PR-22 This care may be covered by another payer per coordination of benefits. CO-19 This is...
-
Therapeutic activities are considered medically necessary for patients needing a broad range of rehabilitative techniques that involve ...
-
Health benefit payers, including Medicare, are limited to use of those internal and external code sets identified in the implementation gui...
-
Mohs surgery, also known as chemosurgery, created by a general surgeon, Dr. Frederic E. Mohs, is performed to remove complex or ill-defi...
-
This procedure is medically necessary only when it requires the professional skills of a therapist, is designed to address specific ne...
-
CIGNA will adopt a common time frame for health care professionals to follow for submitting claims to CIGNA. Except where state law requir...
-
Ambulance transportation is a covered service when the patient’s condition is such that the use of any other method of transportation would...
-
Sentinel lymph node identification and biopsy typically involves a multidisciplinary approach. A nuclear medicine procedure called lymph...
