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Wiki 92980 and 92981 CCI edits

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genacodes

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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.
 
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
 
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