• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Denials w/Cath and 2013 Interv Codes

Create Wiki
M

mbprzychocki

Contributor
Messages
10
Location
Sebring, FL
Best answers
0
We are getting denials from UHC, Humana for billing a 93458-26,59 and 92928 together. Is anyone else having this problem? They are trying to say these codes are bundled together.....I went ahead an billed with the 26 & 59 like before and am not adding the "specific artery mods" like we used to.
Frustrated because now alot of my January claims are being denied.....:confused:

Thank you for any input some of you may have!
 
This started happening to us last year. I started billing with a remark stating that the "Cardiac Cath was performed to see if a stent was necessary" and have had success with most carriers in getting them paid. Some still require that I send in an appeal with a copy of the Cath Report.
 
You must log in or register to reply here.
Top