Wiki Stent and Cath coding help

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cvand1972

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Help!!
We billed these CPT codes for same date of service:
92980 - single vessel stent
93510 - Left Heart Cath
93543 - Inj Card Cath; LT V/A Angio...
93545 - Inj Card Cath; for coronary angio...
93555 - Supervision & Interp for Vent and/or atria...
93556 - Supervision & Interp; pulmonary angio....

United Health care denied the 93545 stating that it was inclusive to the 92980. I haven't been doing this that long so I don't know if that's right and I can't find any documentation telling me that it really should be 'included'. Does anyone have any experience in this??
 
cvand1972 said:
Help!!
We billed these CPT codes for same date of service:
92980 - single vessel stent
93510 - Left Heart Cath
93543 - Inj Card Cath; LT V/A Angio...
93545 - Inj Card Cath; for coronary angio...
93555 - Supervision & Interp for Vent and/or atria...
93556 - Supervision & Interp; pulmonary angio....

United Health care denied the 93545 stating that it was inclusive to the 92980. I haven't been doing this that long so I don't know if that's right and I can't find any documentation telling me that it really should be 'included'. Does anyone have any experience in this??
Click to expand...

Here's how it should have been billed with all the modifiers:

92980-(LC, LD, or RC)
93510-26
93543
93545
93555-26,59
93556-26,59

I'm not sure if you used any of the modifiers, they aren't listed in your posting. You should get paid if those mods are there. Hope that helps
 
I should have put those on there. The only thing that does not have a modifier is the 92980. All the other codes have the appropriate modifier. Does the LC, LD and RC really make a difference if it's not added to the 92980??
 
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