Hello,
We just started using our own internal US techs to perform LE Arterial and Venous and ABI scans in our Interventional Radiology labs. These scans are done on the same day or on a previous day prior to a consultation or followup office visit. Medicare seems to be paying everything the way I've been coding just fine, but I'm having issues with the commercial insurances not paying the ABI or not paying any of the scans. Here's how we've been coding CPT and modifiers:
99204 or 99214 25 mod
93925 or 93926 LT/RT mod if needed
93970 or 93971 LT/RT if needed
93923 or 93923 51 and LT/RT if needed
When I used Codify a while back, it encouraged me to use 51 modifier on the 93970 and 93923. I'm wondering if I should be using a 59 or X modifier to get all lines paid?
We just started using our own internal US techs to perform LE Arterial and Venous and ABI scans in our Interventional Radiology labs. These scans are done on the same day or on a previous day prior to a consultation or followup office visit. Medicare seems to be paying everything the way I've been coding just fine, but I'm having issues with the commercial insurances not paying the ABI or not paying any of the scans. Here's how we've been coding CPT and modifiers:
99204 or 99214 25 mod
93925 or 93926 LT/RT mod if needed
93970 or 93971 LT/RT if needed
93923 or 93923 51 and LT/RT if needed
When I used Codify a while back, it encouraged me to use 51 modifier on the 93970 and 93923. I'm wondering if I should be using a 59 or X modifier to get all lines paid?