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cardiac catheterization procedures

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Wiki Modifiers LD & LC

I'm a utilization nurse reviewing a denial for missing modifiers. Procedure codes billed are 92928 x2, 92978 x1, 92979 x1, and 93458-59 x1. I have my CPC, but it was more so I could get some idea of some of the denials I audit. Based off what I'm understanding with the coding and the op report...
- RaeToll
- Thread
- Nov 1, 2023
- cardiac catheterization procedures pci coding
- Replies: 1
- Forum: Cardiology
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Wiki PLANNED LHC, ONLY DIAGNOSTIC PERFORMED. WHAT TO BILL?

this is for facility---If the dr. is planning to do a LHC (93458), but could not cross the LV and only an angiography is done, do I code 93458-74, 93454-74 or just 93454?
- bag4498
- Thread
- Jul 31, 2023
- cardiac catheterization procedures
- Replies: 1
- Forum: Cardiology
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Wiki When does Modifier -26 apply to CPT 93458 in a hospital setting?

Hello everyone! We work at a hospital where we've been receiving denials from insurance carriers that modifier -26 needs to be appended to CPT 93458 and associated codes due to cardiac catherization procedure performed in hospital setting for POS 21, 22, and 23 when performing percutaneous...
- she803
- Thread
- Mar 25, 2023
- 93458 cardiac catheterization procedures hospital setting modifier 26 percutaneous coronary intervention
- Replies: 5
- Forum: Cardiology

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