Wiki Stent and Cath coding help

[cvand1972]

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??

 

[jlb102780]

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??

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

 

[cvand1972]

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??

 

[Regina Tinney]

This is not bundled in with the stent and should be separately billable, this may be a UHC policy.

 

[pdrgos]

Pam. CPC

You do need the LC, LD or RC to show which coronary vessel received the stent.

 

[vikas.maheshwari]

Bill like this

92980-
93510-26-59
93543
93545
93555-26,59
93556-26,59