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Ivus -- please help

  1. #1
    Location
    Alexandria, LA
    Posts
    18
    Default Ivus -- please help
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    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
    HI!

    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
    Location
    Alexandria, LA
    Posts
    18
    Default
    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

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