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Stent and Cath coding help

  1. Default Stent and Cath coding help
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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??

  2. #2
    Location
    Jacksonville Florida
    Posts
    126
    Default
    Quote Originally Posted by cvand1972 View Post
    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
    Jammie Barsamian, CPC, CCC, CEMC, CCS-P, CPMA

  3. Default
    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??

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

  5. #5
    Default Pam. CPC
    You do need the LC, LD or RC to show which coronary vessel received the stent.

  6. Default
    Bill like this

    92980-
    93510-26-59
    93543
    93545
    93555-26,59
    93556-26,59
    Vikas Maheshwari
    Operation Manager (Medical Billing & Coding)
    MBA-HCS, CPC-H

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