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93458 with modifier 59 - Ventriculography

Shay2025

Networker
Messages
76
Location
Lincoln Park, MI
Best answers
0
93458 with modifier 59

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Procedure: Left Cardiac Cath. Left Ventriculography , coronary angio and stent placement

My provider does specifically say that the cath. was done for diagnostic purposes. He basically gives the fings for the lt main coronary artery, the left anterior descending artery, and left circumflex artery. He finally gives the findings of the right cornonary artery to which he also does the stent placement.

Does this warrant the use of modifier -59 or should i just bill with the stent code only?
:D
 

jewlz0879

True Blue
Messages
827
Location
Richardson, TX
Best answers
0
I would say it does. Unless the physician went in with the intent to do the stent I would attach 59 to my providers diagnostic heart cath as long as the stent/ptca met medical necessity.
 
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