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Planned intervention the next day

  1. #1
    Default Planned intervention the next day
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    One of my cardiologists did a cardiac cath with a stent placement. He planned to bring the patient to the lab the following day for additional stent placement. With the understanding that this was a planned procedure, I do not believe we can bill a 93508-26, 93545, 93556-26. Can someone confirm this?

    Thanks
    Marty

  2. #2
    Location
    Birmingham, Alabama
    Posts
    889
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    Quote Originally Posted by 10marty View Post
    One of my cardiologists did a cardiac cath with a stent placement. He planned to bring the patient to the lab the following day for additional stent placement. With the understanding that this was a planned procedure, I do not believe we can bill a 93508-26, 93545, 93556-26. Can someone confirm this?

    Thanks
    Marty
    I agree with you. A second diagnostic exam is not warranted (medical necessity) without a documented change of condition or insufficient previous cath. That does not seem to be the case in this instance.

    HTH
    Danny L. Peoples
    CIRCC,CPC

  3. Default
    Would you not add staged procedure modifier?

  4. #4
    Default
    he already knows where he needs to stent you can only bill for the stent unless symptoms change or increase and he has to check and make sure nothing has changed

  5. #5
    Location
    Birmingham, Alabama
    Posts
    889
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    Quote Originally Posted by thomasgail View Post
    Would you not add staged procedure modifier?
    I don't think the procedure code 92980 carries a global period, so modifier 58 should not be necessary.

    Danny L. Peoples
    CIRCC,CPC

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