Wiki New Cardiac Cath Coding - Examples

[KKCODER]

Can someone see if I am missing any codes under the new coding guidelines as compared to 2010? For example, how would this be coded with 2011 codes?

93510-26
93545
93543
93555-26
93556-26
92980

I'm thinking (but may have missed something):
93452-26
93454-26
92980

Thanks,
KK

 

[Jim Pawloski]

Can someone see if I am missing any codes under the new coding guidelines as compared to 2010? For example, how would this be coded with 2011 codes?

93510-26
93545
93543
93555-26
93556-26
92980

I'm thinking (but may have missed something):
93452-26
93454-26
92980

Thanks,
KK

How about trying this:
93458 - Coronary angio w/ LHC (w/wo Lvgram) includes injection and S&I

That's it
Jim Pawloski, CIRCC

 

[ERIC_MPB]

Jim,

It looks like we will no longer have to use the professional component? How will the hospital bill these out? We are a group practice that does caths in the lab located at the hospital.

Eric

 

[Jim Pawloski]

Jim,

It looks like we will no longer have to use the professional component? How will the hospital bill these out? We are a group practice that does caths in the lab located at the hospital.

Eric

IMO I think you would use the professional onlt modifier. How the insurance companies would payout, that would be a good question?

Jim Pawloski, CIRCC

 

[ERIC_MPB]

IMO I think you would use the professional onlt modifier. How the insurance companies would payout, that would be a good question?

Jim Pawloski, CIRCC

If that's the case our reimbursement on the above example would be about 250.00 according to 2011 Medicare rates. That's why I assumed we would no longer have to worry about billing the prof comp. The allowable is about 750.00 on the global.

Eric