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92980 and 92981 CCI edits

  1. #1
    virginia beach, va
    Default 92980 and 92981 CCI edits
    Medical Coding Books
    92980 transcather placement of and intracoronary stent.
    + 92981 each additional vessel.

    92981 is an addon code for 92980. But there is a CCI edit stating that 92981 is a component of 92980 and a modifier is needed to differentiate between the services.

    The add on code should not require a modifier.

    Has anyone run into this denial? How were you able to resolve it? I would hate to have to appeal every claim.

    Gena Alexander-Fortune, CPC, CGSC

  2. #2
    All percutaneous interventions on coronary arteries [PTCA, atherectomy, stent] must be reported with a coronary artery modifier - RC, LC, LD. Correct use of these modifiers satisfy CCI edits.


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