Wiki 75724 bi and 36245 with cath

[ncalderon]

I billed 99223 93510 93543 93545 (93555 93556 not paid) 93544 (75630 not paid) 75736 37204 92980 (36245 x 2 75724 bilat not paid) and 36246 any ideas Thank you

 

[deeva456]

Hello,

W/O looking at the report it is hard to see exactly what was done. I dont know if all these codes are correct.

If the heart cath and bilateral renal angiogram and renal stent placement was done the same day as the heart cath, add modifier 59 to the codes. 93555-26& 93556-26 should have modifier 59 if billed same session as 92980

Was 99223 billed same day as the procedures? Was it billed with modifier 25? Some payers may pay the E/M service but may withhold or reduce payment on a procedure code billed the same day. This may be the reason one of the codes did not get paid.

Hope this helps.

Dolores CPC-CCC