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2134kscp

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Kansas City, KS
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I have a question as to why 92982, and 92984 are being denied on a claim? All the line items were 99222-25, 93548 -26,59 , 92982-22,59 92984-59. Secure horizon is stating there is a NCD edit for this and that it is bundling with another code. Can anyone help me to understand and or fix this so it can be paid if possible. thanks


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2134kscp said:
I have a question as to why 92982, and 92984 are being denied on a claim? All the line items were 99222-25, 93548 -26,59 , 92982-22,59 92984-59. Secure horizon is stating there is a NCD edit for this and that it is bundling with another code. Can anyone help me to understand and or fix this so it can be paid if possible. thanks


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I would put the vessel modifiers on the PTCA codes and not bill with -59's. -59 isn'tcorrect.

LC-Left Circumflex
LD-Left Anterior Descending
RC-Right Coronary

99222.25
93458.26.59
92982.22 and vessel modifier
92984 with vessel modifier

I would think it would be paid then.

Jessica CPC, CCC
 
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