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93555 & 93556 denied

  1. Question 93555 & 93556 denied
    Medical Coding Books
    93510 - paid
    93543 - paid
    93545 - paid
    92980(LD) - paid
    93555(26) - denied
    93556(26) - denied

    can 93555 & 93556 be billed w/the other codes?

    Thanks,

  2. Default
    What was the reason given for your denial?
    Last edited by armymomryan; 05-18-2011 at 12:38 PM.

  3. #3
    Location
    Kansas City, MO
    Posts
    92
    Default
    Prior to 2011, per NCCI edits 93555 & 93556 were bundled into 92980. If an intervention was performed following a diagnostic cath you will need to append modifier -59 to the 93556 & 93555 codes.
    Olivia Price, CPC, CCC
    Physician Coder Supervisor
    The University of Kansas Health System

  4. Wink
    Quote Originally Posted by OliviaPrice View Post
    Prior to 2011, per NCCI edits 93555 & 93556 were bundled into 92980. If an intervention was performed following a diagnostic cath you will need to append modifier -59 to the 93556 & 93555 codes.
    Thanks,

    Would you happen to have a source where this info came from. I am really interested in knowing everything I can about this specialty.

  5. Arrow
    Quote Originally Posted by armymomryan View Post
    What was the reason given for your denial?
    The denial was that they are bundled to 92980.

  6. Default
    The codes, 93555 and 93556 have been deleted from the cpt codebook.

  7. Wink
    Quote Originally Posted by bmx1616 View Post
    The codes, 93555 and 93556 have been deleted from the cpt codebook.
    I know that they have been deleted. The claim is from 2010 and I am having difficulty determining whether or not they are bundled. I would like to have a source to reference to, just in case my manager ask.

    Thank you for your input.

  8. #8
    Default
    Quote Originally Posted by coders_rock! View Post
    I know that they have been deleted. The claim is from 2010 and I am having difficulty determining whether or not they are bundled. I would like to have a source to reference to, just in case my manager ask.

    Thank you for your input.
    Since this is from 2010, 93555 & 93556 are the S&I code for coronary angio and LVgram. I would use Dr. Z's book for reference.
    HTH,
    Jim Pawloski, CIRCC

  9. Default
    Thanks Jim...

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