Wiki Denial on 92921

kvogel03

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Hello,

I have a denial on 92921. It was billed with 92928 LD, 92921 LD, and 93458 26 59. 92921 is being denied inclusive.

Any suggestions?

Thanks,

Kayla
 
Hello,

I have a denial on 92921. It was billed with 92928 LD, 92921 LD, and 93458 26 59. 92921 is being denied inclusive.

Any suggestions?

Thanks,

Kayla

What branch of the LD was angioplastied? They may think you are unbundling.

HTH,
Jim Pawloski, CIRCC
 
Class B add on code

I have had this denial from Medicare. They explained to me that 92921 is a class B add on code. It is a "branch code". When you bill the 92928 with the 92921 Medicare denies the branch code as being bundled, but pays little more for the primary code 92928.
You should call Medicare and confirm this for yourself.
 
Hello,

I have a denial on 92921. It was billed with 92928 LD, 92921 LD, and 93458 26 59. 92921 is being denied inclusive.

Any suggestions?

Thanks,

Kayla


Kayla,
Medicare has never paid for the "additional" interventions. They carry a 0 dollar amount. But we should report them. They may decide to pay for them at one point. we hope. :)
 
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