Cardiology-nuclear stress test

bcevans36

Contributor
Messages
16
Location
St Augustine, FL
Best answers
0
Can anyone give me some information on which modifier should be billed with the A9500 on the second part of the nuclear stress test, is it 59 or 25?

Thanks in advance
 

deeva456

Expert
Messages
276
Best answers
0
How are you billing A9500 during a nuc study? A modifier is not required for A9500.
 

Lisa Bledsoe

True Blue
Messages
2,046
Location
Greeley, Colorado
Best answers
0
is it the A9500 that they want a modifier on or the actual procedure? Neither 25 or 59 would be appropriate on this code (and as stated before should not need any modifier), which makes me wonder about the code in denial.
 

nikkiv1

Guest
Messages
17
Location
St. Louis East
Best answers
0
No modifier is needed. I have been having problems with United Healthare denying A9500 and A9700. They have a contrast material policy on their website, www.unitedhealthcareonline.com. It has a list of the CPT codes that have to be billed with the contrast material. They are my least favorite insurance, because a lot of their denials don't make sense, and most of the reps I speak with don't understand what we are talking about.
Good Luck!

Nikki
 

deeva456

Expert
Messages
276
Best answers
0
I'm guessing you may not be billing the nuclear study correctly this is the reason for having your injections denied. To bill the nuclear study you do not need to bill for both dates. We never had problems with United Healthcare denying payments. You should also submit the NDC number and copy of the drug invoice with the claim.

Dolores, CPC, CCC
 
Top