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Ok, in my physician office we always had to precert for Cath procedures done in the hospital in 2010 which wasn't an issue because it was one code. Now, in 2011 we have 93458 which is what we bill 9 times out of 10 which is the left cath and coronary angio, and vent. gram, plus S&I. But how do we know for sure what it is our dr. is going to do? He may decide he only needs to perform Left Cath and Vent. 93452, and so on.....
What are you giving the insurance companies when you pre cert for cath procedures? We feel we are correct in giving the 93458 but it is just not the same as having to worry about one code now that they have bundled everything together. We also noticed and wanted to use 93540 & 93539 which is now= 93564 but 93564 is in an area of the crossover that states "congenital", do we use it anyway? What are we suppose to use for crossover for those two codes? or the 93545 could be= 93563 but again, listed as "Congenital", any help would be appreciated. Thank you, Gail Davis, CPC
What are you giving the insurance companies when you pre cert for cath procedures? We feel we are correct in giving the 93458 but it is just not the same as having to worry about one code now that they have bundled everything together. We also noticed and wanted to use 93540 & 93539 which is now= 93564 but 93564 is in an area of the crossover that states "congenital", do we use it anyway? What are we suppose to use for crossover for those two codes? or the 93545 could be= 93563 but again, listed as "Congenital", any help would be appreciated. Thank you, Gail Davis, CPC