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92978 done by different Dr. than cath.

  1. #1
    Default 92978 done by different Dr. than cath.
    Medical Coding Books
    PLease help. I have one Dr. performing the Cath and a different Dr. performing the IVUS. Is the 92978 going to be denied since it is done by different Dr.?

  2. #2
    Location
    Phoenix, AZ
    Posts
    620
    Default
    Yes, it will be denied because it is an add on code. We have this problem all the time because we have a non-interventional cardio doing caths. Its a pain.

    sorry,
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  3. #3
    Default
    Can you appeal it and win?

  4. #4
    Location
    Phoenix, AZ
    Posts
    620
    Default
    No, its an add on code. There has to be an acceptable primary code to which you can add it.

    Sorry
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  5. #5
    Default
    I believe if the doctor performing the cath submits his charges fist, the 2nd doc will get paid also. Good Luck.

  6. Default
    Quote Originally Posted by Worldwalker View Post
    I believe if the doctor performing the cath submits his charges fist, the 2nd doc will get paid also. Good Luck.
    Im thinking these physicians are in the same practice. This will be NOT be denied if cath is submitted first just the way Worldwalker said.
    Theresa CCS-P CPMA CCC ICDCT-CM

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