Question 93571

bennieyoung

Networker
Messages
36
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0
I'm having lots of denials for 93571. I use the 26 modifier because they are done in the Cath Lab. I identify the vessel but they still deny. I usually do them with a left heart cath and I add the 26 and 59 modifier to that. What am I doing wrong? Why would these deny?
 

carelitz

Networker
Messages
79
Location
Punta Gorda, FL
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0
What is your denial stating? This will tell you what is incorrect with your FFR code.

i bill these in the hospital setting and bill:

93458 26
93571 26LD (for example)
 

bennieyoung

Networker
Messages
36
Best answers
0
What is your denial stating? This will tell you what is incorrect with your FFR code.

i bill these in the hospital setting and bill:

93458 26
93571 26LD (for example)
I added a 59 to the 93458 is the only difference. the denial says not separately billable.
 
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