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New Cardiac Cath Coding - Examples

  1. #1
    Default New Cardiac Cath Coding - Examples
    Medical Coding Books
    Can someone see if I am missing any codes under the new coding guidelines as compared to 2010? For example, how would this be coded with 2011 codes?

    93510-26
    93545
    93543
    93555-26
    93556-26
    92980

    I'm thinking (but may have missed something):
    93452-26
    93454-26
    92980

    Thanks,
    KK

  2. #2
    Default
    Quote Originally Posted by KKCODER View Post
    Can someone see if I am missing any codes under the new coding guidelines as compared to 2010? For example, how would this be coded with 2011 codes?

    93510-26
    93545
    93543
    93555-26
    93556-26
    92980

    I'm thinking (but may have missed something):
    93452-26
    93454-26
    92980

    Thanks,
    KK
    How about trying this:
    93458 - Coronary angio w/ LHC (w/wo Lvgram) includes injection and S&I

    That's it
    Jim Pawloski, CIRCC

  3. #3
    Default
    Jim,

    It looks like we will no longer have to use the professional component? How will the hospital bill these out? We are a group practice that does caths in the lab located at the hospital.

    Eric

  4. #4
    Default
    Quote Originally Posted by ERIC_MPB View Post
    Jim,

    It looks like we will no longer have to use the professional component? How will the hospital bill these out? We are a group practice that does caths in the lab located at the hospital.

    Eric
    IMO I think you would use the professional onlt modifier. How the insurance companies would payout, that would be a good question?

    Jim Pawloski, CIRCC

  5. #5
    Default
    Quote Originally Posted by Jim Pawloski View Post
    IMO I think you would use the professional onlt modifier. How the insurance companies would payout, that would be a good question?

    Jim Pawloski, CIRCC
    If that's the case our reimbursement on the above example would be about 250.00 according to 2011 Medicare rates. That's why I assumed we would no longer have to worry about billing the prof comp. The allowable is about 750.00 on the global.

    Eric

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