Arlene2022
Networker
Can anyone help - I get the 93016 and 93018 paid for "pre procedural exam" but not the 78452-26 (this was done by our physician in the hospital)........its the diagnosis (but that is why it is being done) -- any suggestions....
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Wiki Need help billing 78452-26 (nuclear stress done in hospital) for pre procedural exam
- Thread starter Arlene2022
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danskangel313
True Blue
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Is this billing to Medicare? When you say both 93016 and 93018 are paid, are there any remark codes on the RA? Also with the 78452-26, does it state the reason for denial? Also, was there multiple studies done and is there documentation to support that? Any additional details might be helpful.