Wiki Medicare reduced reimbursement for cardiac cath

[Pillow1]

re: CARDIAC CATH>> I WOULD LIKE TO KNOW IF ANY MODIFIER USAGE SHOULD APPLY AGAINST THE CODES THAT MEDICARE REDUCED THE REIMBURSEMENT (CO-150)STATING THE CPT DOES NOT SUPPORT THIS LEVEL OF SERVICE.......

2010-05-10 21 1 93508 26 CO-45
2010-05-10 21 1 93545 CO-150
2010-05-10 21 1 93556 2659 CO-45
2010-05-10 21 1 93540 CO-150
2010-05-10 21 1 93539 CO-150
2010-05-10 21 1 92978 2659 CO-45

ANY FEEDBACK IS APPRECIATED.. THANK YOU

 

[KeriH423]

Heart Cath Mods

Was there a stent done by another dr on the same date?

 

[Pillow1]

No other stent provided, no other services provided by another doctor. Thanks for asking.

 

[sbicknell]

I see no issues with the way you have coded the cath. So just thinking.....

1) was a diagnostic cath done just previously to this, say within the previous 2 weeks?

2) what DX were coded with this? It's a post CABG patient, does the report specify findings as patent or disease of the bypass conduits? Did you code (for example) 414.01 + 414.02 + 414.04 + V45.81 and link to the 93539 and 93540