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Thread: 93458 denied - I have a claim where 93458-26

  1. #1

    Question 93458 denied - I have a claim where 93458-26

    AAPC: Back to School
    I have a claim where 93458-26 was denied to 92980-RC. Can someone help me understand under what circumstance these codes can and cannot bill together.

    Last edited by ank3t; 10-20-2016 at 04:48 AM.

  2. #2
    Join Date
    Apr 2007


    Was your cath diagnostic? If so, besides your 26 modifier, you need a 59 modifier on 93458 when billing with a stent.

  3. #3
    Join Date
    Apr 2007
    Richardson, TX


    I agree with stpat. You will need that -59 modifer attached to the Heart cath code
    Julie Graham, BA, CPC, CCC

  4. #4


    Thanks to both of you, I just get so unsure of myself when it comes to modifier 59, are there any resources that can direct me into the decision to apply the modifier, thank you.

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