Wiki 92928 billed twice

[Robbin109]

I am getting denials from Medicare when billing

92928
92928-59

Anyone else having this issue and how are you getting them paid?

I know initially Medicare was denying for modifiers RC,LC,LD...I'm sure if they still are, or if this would help.

Thanks!

 

[cawthon1]

Stents

I have been billing my stents 92928 LD, 92928 LC or what ever artery he put the stent in. I haven't been told were not getting paid.

 

[Robbin109]

I justed called Medicare (southern California) and they are still not taking Modifiers LC,RC,LD for the stent codes.

Is anyone else having issues getting

92928
92928-59

paid? Modifier 51 perhaps...?

 

[decus1956]

I have been billing 92928 LC and 92928 LD and am getting pd.

 

[debdu]

I have not had this problem with our MAC- I am in Louisiana, but I have just received a letter from UHC stating their system noticed a claim had been billed incorrectly on a claim with 92928 and 92928-59. I have been using the RC, LC, LD, LM and RI identifiers for the medicare claims w/out a problem.
Debbie

 

[KatrinaKritikos]

mine our getting paid
92928
92928 59

 

[Sathish]

Parthasarathi P

Im getting paid for this case,

92928 - LD
92928 - XS, RC

 

[Jim Pawloski]

Are you also coding the diagnostic cath with a modifier -XU? And where are the stents being placed?

Thanks,
Jim Pawloski, CIRCC

 

[heart123]

xu modiefer

Don't forget that in place of the 59 modifier for medicare you use XU I have been getting paid

 

[ruth.amicosante1]

I'm getting denial from Humana
92928 LD (Paid)
92928 LC (Denied)

92928 LC got denied with reason

4​

:​

The procedure code is inconsistent with the modifier used or a required modifier is missing. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.​

anyone suggest me appropriate modifier.