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93280

H

heart123

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316
Location
Greenwood, SC
im having a hard time getting paid from aetna with dx Z95.0 any help please;)
 
This is only a status code, need to use the patient's condition for conducting lead pacemaker. Could use the same code that was used for the initial visit with z95.0 as secondary.
 
pedscardio1 said:
so even if the provider himself/herself is doing the programming, adjustments, analysis and review you would still pend a 26 modifier?
Click to expand...

You would only report 26 if another entity will be reporting the TC modifier. If your office owns the equipment then your office would be billing the global charge.
 
Last edited:
Thank you for your response, we do not own the device, its a Medtronic device. For this particular visit, the doctor did not need the rep here for the T/C part, she was able to do the programming and analysis herself. Would the 93280 still be appropriate?
 
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