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Thread: 2011 Cardiac Cath Codes-modifiers?

  1. #1
    Join Date
    Apr 2007

    Default 2011 Cardiac Cath Codes-modifiers?

    AAPC: Back to School
    Hi Everyone!

    Currently, I am told by my billing company that we do not have to append a modifier to Cardiac Catheterizations that we bill for our physicians portion except for the injection codes. (These caths are performed in a hospital setting).

    In 2011 will the new codes require a 26 modifier for the physicians portions? My LMRP Billing Guidelines was published in 07/10 and still refers to the 2010 codes.

    Thanks so much!

  2. #2
    Join Date
    Apr 2007
    grand canyon(PHX)


    well its the opposite actually no modifier for injection yes modifier for the S/I and initial cath
    93510 26
    93556 26
    93555 26

    and the new codes you will need a modifer
    Robert A Kiesecker CPC CCC CPC-I

  3. #3
    Join Date
    Apr 2007


    Thanks, Robert. I was originally misinformed regarding the modifiers we use currently. I appreciate your help.

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