Results 1 to 4 of 4

93508 and 93510 on the same day

  1. #1
    Default 93508 and 93510 on the same day
    Medical Coding Books
    Hi there--

    I am getting a denial for a patient that had two caradiac catheterizations in one day. In the morning he had a diagnostic left heart cath 93510 followed by a stent placement. In the afternoon he had a Coronary angio 93508 after some worry that he may have stenosed again. I am getting a denial on the 93508. I put a -59 on the 93508 but still am getting the denial. Here are the codes I billed out:

    For the AM:

    For the PM:

    Any thoughts on what I should do? Should any changes be made? please help! Thanks!

  2. Default
    Hello! You may have to send report to prove medical necessity but also mod 78 may be needed because it was done on the same day as primary cath.

  3. #3
    Was this staged? You might try 58 modifier.... but you're probably going to have to appeal with the records....

    Good luck!

  4. #4
    Thanks so much for the help. I think we are going to try to 78 and be ready to provide a report. It was not a staged procedure. The AM procedure was scheduled as a diagnostic cath that ended up needing a intervention as well after study of the findings. The PM cath was done after the patient left the cathlab and began to have chest and arm pain while on the floor. So they brought him back to check for stent thrombosis. Thanks so much for the thoughts. I am so happy that this forum is available!

Similar Threads

  1. Is it 93508 or 93510
    By peeya in forum Cardiology
    Replies: 1
    Last Post: 10-26-2010, 07:15 PM
  2. 93501 and 93508
    By in forum Cardiology
    Replies: 3
    Last Post: 09-22-2010, 09:16 AM
  3. CPT 93510. Coding off the cath lab report
    By daniel in forum Cardiology
    Replies: 1
    Last Post: 08-19-2010, 10:49 AM
  4. help with 93508
    By jmthomas29 in forum Cardiology
    Replies: 4
    Last Post: 09-24-2009, 09:32 AM
  5. 93508 with a Stent
    By howland6 in forum Cardiology
    Replies: 5
    Last Post: 11-05-2008, 12:26 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.