Results 1 to 4 of 4

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.
    93510
    93543
    93545
    93555
    93556
    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
    Default
    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
    Smile
    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.

    93510
    93555
    93556

    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!

Similar Threads

  1. modifier needed?
    By laura vangroningen in forum Modifiers
    Replies: 1
    Last Post: 01-11-2011, 08:32 PM
  2. Modifier Needed?
    By andrewsbev23 in forum ENT/Otolaryngology
    Replies: 2
    Last Post: 10-29-2010, 01:39 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?

Login

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.