AAPC - credentialing the business side of medicine

Brendacole · #1 06-08-2009, 01:05 PM

Is anyone billing and getting paid for 93976 CPT code?

LLovett · #2 06-08-2009, 01:09 PM

Yes, not a lot of them but I just checked and we are getting paid. Are you having problems?

Laura, CPC

Brendacole · #3 06-09-2009, 01:37 PM

yes, we are getting denials. we only started with this code this year. Am I correct in the info I have researched that it is bundled with a 76700 and if done with a 76856 it needs a -59? I coded pathology for 10 years and am new at radiolgy so I am doing a lot of research here. The rads dictation is also a little vague from the RBMA meeting I attended this past Friday, I think after I point this out to them that will be better.
Thanks for any help you can give me.

Brenda,CPC

tmlbwells · #4 06-09-2009, 07:27 PM

We usually use it with 76775 and put the 59 modifier on the 76775. As far as I know we're getting paid for it. We do occasionally use it alone, and then with no modifier.

Brendacole · #5 06-19-2009, 01:35 PM

Does anyone have a report they are willing to share that shows good documentation to support the 93976 code that I can show my rads. They want to see one.

Thanks,
Brenda,CPC

~*Audra*~ · #6 06-23-2009, 02:53 PM

We use the 93976 with 76700, 76705, 76770, 76775, 76870, 76856, and 76857. They always get paid for us. Most of the time it's harder to get the codes I listed here paid, especially with Medicare. On the abdominal and retroperitoneal we put the modifier 59's on.

Brendacole · #7 06-24-2009, 06:41 AM

Audra,
Do you have a copy of a report that shows good documentation of 76856/93976 that you would be willing to share with me? If so could you block out all pertinent info on report and fax to 864 330 1084? Thanks a million!