Cindygau
Contributor
I am having issues with getting denial when I bill a stent with a heart cath. They are saying that the heart cath. is in with the stent. Is there any info for this?
93548 59
92928 rc
93548 59
92928 rc
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Wiki 93458 & 92928
- Thread starter Cindygau
- Start date
heart123
Guest
if this is a medicare product put an XU instead of 59
JS81coder
Contributor
The cath code 93458 may need modifier 26 if you are coding for the physician side. (93458-26,59)
carelitz
Guest
Agreed. We code this 93458 26XU with the 92928 RC
abettiga
Guest
If the decision for the stent placement was made during the initial cath (or a previous study is unavailable)... 92928-RC, 93458-26XU. If the patient is coming in for stent placement determined necessary from a previous cath, 92928-RC no cath.