Help with a global denial for cpt 93290

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Hi

CTCR MCR is denying in person device evaluation (93290) as global to the remote evaluation (93295) because it was performed within the 90-day period. Would a modifier be needed in this circumstance? I was thinking modifier -58? I am new to cardiology coding and could use some assistance. Thank you so much
 

jewlz0879

True Blue
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I wouldn't use -58 unless this was a staged or related procedure/svc by same physician during PostOP period. I don't know the circumstances or history of this patient but I don't think 58 would be appropriate.

Per NCCI, you do need a modidier in order to bill 93290/93295 together; I would use 59 if the documentation supported such.

HTH
 
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The procedures were performed on different dates. 93295 was performed in January. 93290 was performed in March. The insurance is denying 93290 inclusive to the global period of 93295.

Thank you for your response
 
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