Hello, I work for a Cardiology grp. We have been receiving denials for the CPT codes "78483"-Cardiac Blood Pool Imaging, using "First Pass" technique:multiple studies, etc. when billed with "78465"- Myocardial Perfusion Imaging; tomographic(SPECT), multiple studies,etc.
We have billed 78483 with mod 59, and supporting procedure note specifically stating "First pass images were obtained using second camera". Just curious to see if any other offices were billing these and getting denials. (The CCI edit allows and Medicare has been paying. The group insurances' are denying, as included).
Thanks for any/all responses.
Beach83
We have billed 78483 with mod 59, and supporting procedure note specifically stating "First pass images were obtained using second camera". Just curious to see if any other offices were billing these and getting denials. (The CCI edit allows and Medicare has been paying. The group insurances' are denying, as included).
Thanks for any/all responses.
Beach83