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Cardioversion 92960

  1. Default Cardioversion 92960
    Medical Coding Books
    With Medicare's reprocessing of claims for 2010, we are receiving demand letters for money paid on cardioversions done at the hospital (inpatient and outpatient) performed by our cardiologists.
    Because the hospital owns the equipment, should we have billed with modifier -26? Thanks in advance for your replies and help.
    Ann Marie CPC
    New Britain, CT

  2. Talking
    Quote Originally Posted by ammontagano View Post
    With Medicare's reprocessing of claims for 2010, we are receiving demand letters for money paid on cardioversions done at the hospital (inpatient and outpatient) performed by our cardiologists.
    Because the hospital owns the equipment, should we have billed with modifier -26? Thanks in advance for your replies and help.

    no do not add 26 modifier
    Theresa CCS-P CPMA CCC ICDCT-CM

  3. #3
    Location
    Phoenix, AZ
    Posts
    620
    Default
    I agree with Theresa, no modifier needed. Make sure they are not billing for cardioversion during a code and that it is an truly elective procedure with an appropriate diagnosis.
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

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