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Thread: Help-New cath codes mod 26 - I code the professional component

  1. #1

    Cool Help-New cath codes mod 26 - I code the professional component

    AAPC: Back to School
    I code the professional component for cath lab procedures. We are getting denials from insurance companies across the board. They are stating that modifier 26 is inappropriate for these codes i.e. 93458-26, 93459-26. Does anyone have any insight on this?

    Last edited by ank3t; 10-06-2016 at 04:26 AM.

  2. #2
    Join Date
    Apr 2007


    -26 mod works for me?? Maybe they are stalling sending $$? I'd give them a call.:/

  3. #3


    Modifier -26 is correct. And I have had some payors deny saying that the modifier is inappropriate. Just call them and tell them according to Medicare guidelines, you are billing this correctly. They send it back to be paid then.

    Dawn CPC, CCC

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