Is any one having any luck getting reimbursed by medicare for 93458, with or with out a mod 26? I know it is considered bundlig if billed with a stent, but when it is just a plain cardiac cath without stent placement I can't get medicare to pay. I've had no luck with reimbursement on 93458 with/with out mod 26(coded alone) all of 2012. Any advice? Thank you! I just recently started coding in my office so if this if a foolish question, please excuse me. If some one can suugest a better code to use for left heart cath, I am certainly open to suggestions.