Wiki Denial for 93571

[kvogel03]

Hello,

I have billed 93458 26, and 93571. 93571 is being denied by Medicaid. It is also being denied by Medicare plus blue. Does the 93571 need a modifier ?

 

[Jim Pawloski]

Hello,

I have billed 93458 26, and 93571. 93571 is being denied by Medicaid. It is also being denied by Medicare plus blue. Does the 93571 need a modifier ?

Yes, you need a modifier for what vessel was performed.
HTH,
Jim Pawloski, CIRCC

 

[kvogel03]

Ok will give it try. The Medicaid denial I have states missing or incomplete POS. So do you think I would need to add a 59 or 26 along with the other anatomical modifier ?

 

[Jim Pawloski]

Ok will give it try. The Medicaid denial I have states missing or incomplete POS. So do you think I would need to add a 59 or 26 along with the other anatomical modifier ?

Yes, you need modifier -59 after the diagnostic exam.
Thanks,
Jim

 

[kvogel03]

Thanks for your help

Kayla

 

[deeva456]

93571 requires modifier 26 when performed by a physician in a hospital cath lab. Check your Medicare fee schedule and it should show what modifiers are allowed.

Dolores