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Medicare reduced reimbursement for cardiac cath

  1. #1
    Location
    Melbourne, Florida
    Posts
    124
    Default Medicare reduced reimbursement for cardiac cath
    Exam Training Packages
    re: CARDIAC CATH>> I WOULD LIKE TO KNOW IF ANY MODIFIER USAGE SHOULD APPLY AGAINST THE CODES THAT MEDICARE REDUCED THE REIMBURSEMENT (CO-150)STATING THE CPT DOES NOT SUPPORT THIS LEVEL OF SERVICE.......

    2010-05-10 21 1 93508 26 CO-45
    2010-05-10 21 1 93545 CO-150
    2010-05-10 21 1 93556 2659 CO-45
    2010-05-10 21 1 93540 CO-150
    2010-05-10 21 1 93539 CO-150
    2010-05-10 21 1 92978 2659 CO-45

    ANY FEEDBACK IS APPRECIATED.. THANK YOU
    Denise Gilrane-Pillow, CPB

  2. #2
    Location
    Central Indiana
    Posts
    51
    Default Heart Cath Mods
    Was there a stent done by another dr on the same date?

  3. #3
    Location
    Melbourne, Florida
    Posts
    124
    Default
    No other stent provided, no other services provided by another doctor. Thanks for asking.
    Denise Gilrane-Pillow, CPB

  4. Default
    I see no issues with the way you have coded the cath. So just thinking.....

    1) was a diagnostic cath done just previously to this, say within the previous 2 weeks?

    2) what DX were coded with this? It's a post CABG patient, does the report specify findings as patent or disease of the bypass conduits? Did you code (for example) 414.01 + 414.02 + 414.04 + V45.81 and link to the 93539 and 93540

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