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Thread: CPT Code for failed PCI..???

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    Default CPT Code for failed PCI..???

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    Is there a billable code for failed PCI? Please help

  2. #2
    Join Date
    Apr 2007
    Birmingham, Alabama


    Quote Originally Posted by peeya View Post

    Is there a billable code for failed PCI? Please help

    In my experience, assuming this is a cardiolgy case, I usually bill for the diagnostic heart cath (if one is performed) and not a failed PCI. If all they attempted was a PCI, I might use that CPT code with a modifier 52 or 53 depending on the reason for the failed attempt.
    If all they did was prep and drape, with no access achieved, I would just not bill for that encounter. There is a lot of subjectivity to these situations, and what ever is billed should stand close scrutiny (audit).

    Danny L. Peoples

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