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Wiki Billing for a heart cath with stent placement

dawnha1

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14
Location
Bucyrus, OH
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We are having issues with Medicare paying for a 93458 when the physician also puts a stent in the same session. We are doing billing for a ASC. I have called Medicare and was told to bill with a TC modifier, I did and claim denied still. We have also reviewed the LCD and one place says that 93458 and C9600 can be billed together, another place says they can't. Can anyone help me as to how to bill these 2 codes in order to get payment for both?
 
Hi there, I hope you got an answer to your question from some time ago. I came across your forum questioned and wondered if you might have gotten on answer or possibly have a resource I could reach out to? I work for a Cardiology office and we are getting claims declined from Triwest when we bill for the ASC location. Their response as to why it was declined was exceeded the number of visits, yet a representative states a modifier needs to be added to the C9600. Any information or resources would be great. Thanks much!
 
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