Wiki 93015 Medicare denying with 78452

bportcardio

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We received multiple denials since the first of the year from medicare on CPT code 93015 when done with 78452 for nuclear stress test. Denial states "HPSA/Physician scarcity bonus can only be paid on the professional component of this service. Rebill as a separate professional and technical components"
Has anyone received this denial? Are you billing 93016 and 93018 instead of 93015.
 
we bill 93015 with a 59 modifier along with 78452 and A9500, J2785. A few years back we put a 51 modifier on the 93015. How do others bill for a nuclear stress test in an office setting?
 
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