Results 1 to 3 of 3

Ivus -- please help

  1. #1
    Alexandria, LA
    Default Ivus -- please help
    Exam Training Packages
    I'm still new at Cardiology, but I'm learning fast. However, I can't seem to get it right when my doc using IVUS during a coronary stent placement with Medicare. I've billed 92978 with -26 as an add-on to the stent code, I've put my RC etc, and even added -59 and Medicare still denies, saying I've used the wrong modifier. Can someone please help me?

    Wanda S. Wages, CPC
    Precision Practice Services of Louisiana

  2. Default

    The only modifier that is required when billing 92978 is modifier 26;however, if this code is being denied then 92978-2659 should work. Have you called Medicare about these denials. Is there another code that is billed on the same day that could be causing these denials. I dont recall having problems billing an IVU with a stent or heart cath.

    Good luck,

    Dolores, CPC, CCC

  3. #3
    Alexandria, LA
    Thanks Dolores,
    I think I was "assuming" that since you were supposed to follow the same guidelines as the intervention, that you needed the RC, LC, or LD on the IVUS also. That's what I get for "assuming"!!!!! Thank you again.

    Wanda S. Wages, CPC
    Precision Practice Services of Louisiana

Similar Threads

  1. Help with ivus
    By tbanks75 in forum Cardiology
    Replies: 1
    Last Post: 03-15-2013, 09:51 AM
  2. Ivus - billing 92978 to Medicare
    By in forum Cardiology
    Replies: 4
    Last Post: 03-12-2013, 12:51 PM
  3. Ivus
    By kdoughty in forum Cardiology
    Replies: 2
    Last Post: 03-12-2013, 10:34 AM
  4. Ivus - first submission
    By in forum Cardiology
    Replies: 2
    Last Post: 02-06-2013, 08:37 AM
  5. Ivus
    By rufus in forum Cardiovascular Thoracic
    Replies: 0
    Last Post: 07-31-2012, 11:59 AM

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.