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Modifier needed??

  1. Default Modifier needed??
    Medical Coding Books
    I am coding a cath for my physician and he also did an Ivus add on code.
    92978- Do I need modifiers on the 93555 and 93556? I always code 59 modifier on those two when also coding a stent but not sure if have to with the ultrasound. Any help is appreciated!!!

  2. #2
    If you are using Medicare edits as a guide then you do not need a 59 modifier on 93556 or 93555 if done with 92978.

    Hope this helps! Have a great day!
    A.Dimmitt, CPC, CIRCC
    Durham, North Carolina

  3. #3
    If this cath is being performed in a facility and you are only billing for the professional component these codes would need a -26 modifier.


    IVUS also gets the -26 modifier as well.

    Jessica CPC, CCC

  4. Smile Thank you!
    Yes, -26 modifier already in place just didn't know if I needed to add a modifier to the imaging codes due to billing the ultrasound together. Thank you!

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