Wiki Medicare still denying 92978

[nancy.anselmo@ccrheart.com]

Ok, I have billed Medicare everyway I know how
93458-26
92978-LM

93458-26
92978-26

93458-26
92978-26-59

92978-26

92978-26-59

I can not get Medicare to pay the 92978 Help please Thank you Nancy

 

[Cyndi113]

I agree with the 92978-26. However, are you rebilling or are you appealing?? Medicare does not like the new intervention codes. I would appeal with records and a copy of the CPT book. I've had to do that with several of the new intervention codes. It's a pain but we do get paid.

 

[nancy.anselmo@ccrheart.com]

Thank you I will try anything at this point Nancy

 

[HEMINGWAYT]

What are you receiving for a denial?

 

[nancy.anselmo@ccrheart.com]

procedure code is inconsistent with the modifier used or a required modifier is missing. that was on the 92978-26-59

 

[nancy.anselmo@ccrheart.com]

procedure code is inconsistent with the modifier used or a required modifier is missing. that was on the 92978-26-59. So for the 6 times I resubmitted this claim it has denied for that reason

 

[j.monday7814]

any success yet?? we aren't having issues with the IVUS for Medicare...Noridian and I bill it 92978-26 with the 93458 and/or 92928 depending on what is done exactly

 

[KatrinaKritikos]

92978

you need to bill it with the vessel modifier
92978 26 LC
Mine get paid