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
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