Wiki CORONARY DIAGNOSTIC CATH LAB REPORT

[mitzimarie2001@yahoo.com]

I work for a billing company, and bill for 2 cardiologists' professional services in a hospital setting. This cardiologist provides the CPT codes, and I enter them into our system and file the claims to insurance. She often provides codes that are incorrect. Please have a look, and let me know what you think about her coding...






The codes she provided are:
93458-26
76937-26-XU
93567-26-XU
75625-26
75716-26
75710-26-XU
36245-XU
36252-XS-51
99152
G0269

She is wearing me out.... I'm not a pro, but there are a few things that are just SO WRONG. I've tried to give her pointers, but she ignores me.

Mitzi

 

[Jim Pawloski]

93567 should be deleted as it is not supported by the report. There is no evidence of the aortic root being injected. 75625 is bundled into 36252, so remove 75625. 75716 is bilateral extremity, 75710 is unilateral extremity, so you can bill one of those but not both. So remove 75710. G0269 is for a closure device which can only be billed by the hospital. Physicians cannot bill for it.

I hope this helps you Mitzi,
Jim

 

[mitzimarie2001@yahoo.com]

Jim, you are the BEST! Thank you for taking the time to reply. It is so helpful to have you verify things, that I already "knew" were incorrect (sometimes she makes me second guess myself, because she continues to code the same way over and over.)