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Thread: cath and stent

  1. #1

    Default cath and stent

    AAPC: Back to School
    Last seminar I went to the presenter was unsure when asked if we need modifier 59 when reporting 93458 and 92980. What is the final word on this?

  2. #2
    Join Date
    Apr 2007
    Green Bay


    Unfortunately I don't have any personal experience to know for sure yet but when I first looked at the CCI edits there wasn't any edit in place so I would say, no, a -59 wouldn't be needed on the 93458.

    Jessica CPC, CCC

  3. #3
    Join Date
    Apr 2007
    Barren River, KY


    I just got back from a Cardiology convention in Atlanta and you would be correct Jessica, a 59 Modifier would NOT be necessary when billing the heart cath and stent together. You would simply bill 92980 (LC,LD,OR RC) and 93458(26). Hope this helps.
    crowmd, CPC

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