Wiki 92980 and 92981 CCI edits

[genacodes]

92980 transcather placement of and intracoronary stent.
+ 92981 each additional vessel.

92981 is an addon code for 92980. But there is a CCI edit stating that 92981 is a component of 92980 and a modifier is needed to differentiate between the services.

The add on code should not require a modifier.

Has anyone run into this denial? How were you able to resolve it? I would hate to have to appeal every claim.

 

[Davistm]

All percutaneous interventions on coronary arteries [PTCA, atherectomy, stent] must be reported with a coronary artery modifier - RC, LC, LD. Correct use of these modifiers satisfy CCI edits.

Terry