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Wiki Anatomic modifier for 93460 and 93458

yahairag2@aol.com

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Brooklyn, NY
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I've recently been getting denials for CPT codes 93458 and 93460 for an anatomical modifier. I bill as 93458,26,59 when i bill with a stent CPT code like 92928 the same with the 93460. Insurance has been paying for the stent placement code and not the catherization. I resubmitted two claims with XU modifier in addition to the 26 and removed the 59.

Has anyone else has had this problem? If so, what was done to correct?

The denial reason given is 835 Healthcare Policy Loop etc.......
 
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