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grace ford Cardiology Coder

  1. Default grace ford Cardiology Coder
    Medical Coding Books
    I received billing tickets (2) on the same patient and one ticket states a right heart cath was performed from the neck. The second card says a right heart cath was performed from femoral access. Should I bill cpt code 93501 two times with a 76 modifier, or is there a different code.

    Thanks,

  2. #2
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    Quote Originally Posted by grace07 View Post
    I received billing tickets (2) on the same patient and one ticket states a right heart cath was performed from the neck. The second card says a right heart cath was performed from femoral access. Should I bill cpt code 93501 two times with a 76 modifier, or is there a different code.

    Thanks,
    Was both caths have pressures taken, or was one used for placement for monitoring the patient in the ICU?

    Thanks,
    Jim Pawloski, CIRCC

  3. Default
    Forget what the 2 tickets say and pull the cath procedure reports and verify what was really done.

    You could find a number of things:
    duplicate tickets
    femoral RH cath in AM with neck RH cath in the PM
    a failed femoral RH cath with a successful neck RH cath

    A separate issue is coding from charge tickets vs coding from the procedure report itself.

  4. #4
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    Birmingham, Alabama
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    Quote Originally Posted by sbicknell View Post
    Forget what the 2 tickets say and pull the cath procedure reports and verify what was really done.

    You could find a number of things:
    duplicate tickets
    femoral RH cath in AM with neck RH cath in the PM
    a failed femoral RH cath with a successful neck RH cath

    A separate issue is coding from charge tickets vs coding from the procedure report itself.
    I agree with sbicknell. While it is not uncommon to have RHC's performed frequently, two in one day is a bit unusual. Verify with the cath report, this could just be a duplicate ticket.

    HTH
    Danny L. Peoples
    CIRCC,CPC

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